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1144517665
JAY E FREDERICK
TACOMA, WA
NPI
1144517665
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: WA PH00061169)
Enumeration Date
2011-07-05
Last Update Date
2011-07-05
Business Address
-- JAY E FREDERICK PharmD
3320 S 23RD ST
TACOMA, WA 98405-1603
Phone number: 253-414-0303
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Mailing Address
-- JAY E FREDERICK PharmD
3320 S 23RD ST TARGET STORE- 0341
TACOMA, WA 98405-1603
Phone number: 253-414-0303
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