Richard P Frederickson02/
NPI #1023390168 in Mandeville, Louisiana
Provider Information
- NPI Number
- 1023390168
- Entity Type
- Individual
- Name
- Richard P Frederickson02/
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Enumeration Date
- Sep 14, 2011
- Last Updated
- Sep 14, 2011
Practice Location
- Address
- 4540 HIGHWAY 22
- City
- Mandeville
- State
- Louisiana
- ZIP Code
- 70471-3300
- Phone
- (985) 674-3320
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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