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

Mary Frederick

Individual provider Pharmacist · NPI 1780036624

Mary Frederick is a Pharmacist in Vidalia, Georgia. Licensed in Georgia. Registered with an NPI since 2016.

Licensed in
GA
In the registry since
2016

Practice location Address checks out

1108 E 1st St
Vidalia, GA 30474-4206
Phone: (912) 538-0311
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence RPH029177 (GA)

Record details

NPI number1780036624
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 4, 2016
Last updated in NPPESJuly 4, 2016
Mailing address1108 E 1st St, Vidalia, GA 30474-4206

Other providers in Vidalia