JUSTIN FREDERICKSEN

TEXAS CITY, TX
NPI1174851612
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: TX  45320)
Enumeration Date2009-11-20
Last Update Date2009-11-20
Business Address
Dr. JUSTIN FREDERICKSEN
3103 PALMER HWY
TEXAS CITY, TX 77590-6721
Phone number: 409-945-0702
Mailing Address
Dr. JUSTIN FREDERICKSEN
3103 PALMER HWY
TEXAS CITY, TX 77590-6721
Phone number: