Larry Alan Fredericks
NPI #1700473550 in Nappanee, Indiana
Provider Information
- NPI Number
- 1700473550
- Entity Type
- Individual
- Name
- Larry Alan Fredericks
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Enumeration Date
- Dec 28, 2020
- Last Updated
- Dec 28, 2020
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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