Mark R Frederiksen, R.PH.
NPI #1043565526 in Portage, Wisconsin
Provider Information
- NPI Number
- 1043565526
- Entity Type
- Individual
- Name
- Mark R Frederiksen, R.PH.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Credential
- R.PH.
- Enumeration Date
- Jul 19, 2012
- Last Updated
- Jul 19, 2012
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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