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1043599897
JASON A FREDERICK
GLENDALE, AZ
NPI
1043599897
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: AZ S018631)
Enumeration Date
2011-08-11
Last Update Date
2011-08-11
Business Address
Dr. JASON A FREDERICK Pharm.D.
5011 W UNION HILLS DR
GLENDALE, AZ 85308-1441
Phone number: 602-896-0257
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Mailing Address
Dr. JASON A FREDERICK Pharm.D.
9450 W CABELA DR APT. 2338
GLENDALE, AZ 85305-1304
Phone number: 330-240-0162
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