Tyson Fredriksen, PHARMD
NPI #1508310871 in Lisbon Falls, Maine
Provider Information
- NPI Number
- 1508310871
- Entity Type
- Individual
- Name
- Tyson Fredriksen, PHARMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Credential
- PHARMD
- Enumeration Date
- Aug 4, 2016
- Last Updated
- Aug 4, 2016
Practice Location
- Address
- 575 LISBON ST
- City
- Lisbon Falls
- State
- Maine
- ZIP Code
- 04252-1114
- Phone
- (207) 353-4843
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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