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

Tyson Fredriksen, PHARMD

Individual provider Pharmacist · NPI 1508310871

Tyson Fredriksen, PHARMD is a Pharmacist in Lisbon Falls, Maine. Licensed in Maine. Registered with an NPI since 2016.

Licensed in
ME
In the registry since
2016
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

575 Lisbon St
Lisbon Falls, ME 04252-1114
Phone: (207) 353-4843
Fax: (207) 353-5009
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PR46135 (ME)

Record details

NPI number1508310871
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedAugust 4, 2016
Last updated in NPPESAugust 4, 2016
Mailing address575 Lisbon St, Lisbon Falls, ME 04252-1114

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