NPI 1003196619

Simon Frey, PHARMD

Practitioner Pharmacist Crown Point, IN

Practice location

Address: 1003 N Main St, Crown Point, IN 46307-2712
Phone: (219) 663-6669
Fax: (219) 663-5987

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 26022590A (IN)

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Registry record

NPI: 1003196619
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Aug 2011
Record last updated: 26 Aug 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.