RICHARD P FREDERICKSON02/

MANDEVILLE, LA
NPI1023390168
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: LA  11041)
Enumeration Date2011-09-14
Last Update Date2011-09-14
Business Address
RICHARD P FREDERICKSON02/
4540 HIGHWAY 22
MANDEVILLE, LA 70471-3300
Phone number: 985-674-3320
Mailing Address
RICHARD P FREDERICKSON02/
4540 HIGHWAY 22
MANDEVILLE, LA 70471-3300
Phone number: 985-674-3320
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