Raymond Edward Fraedrich, RPH

NPI #1538389192 in Provo, Utah

Provider Information

NPI Number: 1538389192
Entity Type: Individual
Name: Raymond Edward Fraedrich, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Apr 26, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 286 W CENTER ST
City: Provo
State: Utah
ZIP Code: 84601-4419
Phone: (801) 373-7288

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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