Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Justin Fredericksen

Individual provider Pharmacist · NPI 1174851612

Dr. Justin Fredericksen is a Pharmacist in Falcon, Colorado. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
In the registry since
2009

Practice location Address checks out

11550 Meridian Market Vw
Falcon, CO 80831-8241
Phone: (719) 522-2989
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 0020781 (CO)

Record details

NPI number1174851612
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 20, 2009
Last updated in NPPESOctober 21, 2025
Certification dateOctober 21, 2025
Mailing address11550 Meridian Market Vw, Falcon, CO 80831-8241

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