Most Relevant Information
Provider Data
| NPI Number: | 1003196619 |
| Provider Name: | SIMON FREY PHARM.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 26022590A |
Most Important Dates
| Enumeration Date: | 08/26/2011 |
| Last Updated: | 08/26/2011 |
Provider Practice Location
1003 N MAIN ST
CROWN POINT
IN
463072712
Practice Location Phone/Fax
| Phone: | 2196636669 |
| Fax: | 2196635987 |
Provider Mailing Location
1003 N MAIN ST
CROWN POINT
IN
463072712
Provider Mailing Phone/Fax
| Phone: | 2196636669 |
| Fax: | 2196635987 |