Mary Frederick

NPI #1780036624 in Vidalia, Georgia

Provider Information

NPI Number
1780036624
Entity Type
Individual
Name
Mary Frederick
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Enumeration Date
Jul 4, 2016
Last Updated
Jul 4, 2016

Practice Location

Address
1108 E 1ST ST
State
Georgia
ZIP Code
30474-4206
Phone
(912) 538-0311

Specialties & Taxonomy Codes

Specialty
Pharmacist

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