Provider Demographics
NPI:1245519297
Name:FREEMAN, AHUNNA EBERECHI (PHARMD)
Entity type:Individual
Prefix:DR
First Name:AHUNNA
Middle Name:EBERECHI
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3085 WAUGHTOWN ST
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27107-1634
Mailing Address - Country:US
Mailing Address - Phone:336-830-8774
Mailing Address - Fax:336-830-8775
Practice Address - Street 1:3085 WAUGHTOWN ST
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27107-1634
Practice Address - Country:US
Practice Address - Phone:336-830-8774
Practice Address - Fax:336-830-8775
Is Sole Proprietor?:No
Enumeration Date:2011-08-09
Last Update Date:2014-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC20421183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist