| NPI | 1124038666 |
|---|---|
| Doing Business As | FREDRICKSON PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SHANTILAL T CHHADWA President 708-253-7110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: IL 054015277) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2020-08-22 |