Richard P Frederickson02
Richard P Frederickson02 is a Pharmacist in Mandeville, Louisiana. Licensed in Louisiana. Registered with an NPI since 2011.
- Licensed in
- LA
- In the registry since
- 2011
Practice location Address checks out
4540 Highway 22Mandeville, LA 70471-3300
Phone: (985) 674-3320
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacist (primary) | Taxonomy 183500000X · Licence 11041 (LA) |
|---|
Record details
| NPI number | 1023390168 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 14, 2011 |
| Last updated in NPPES | September 14, 2011 |
| Mailing address | 4540 Highway 22, Mandeville, LA 70471-3300 |
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