ZACKARY FREDERIKSEN

MERIDIAN, ID
NPI1336865534
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: ID  P10325)
Additional Taxonomies1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
(Licence: ID  P10325)
Enumeration Date2022-10-18
Last Update Date2022-10-18
Business Address
ZACKARY FREDERIKSEN
1678 S WOODSAGE AVE
MERIDIAN, ID 83642-8323
Phone number: 208-550-2380
Mailing Address
ZACKARY FREDERIKSEN
2219 12TH AVE RD
NAMPA, ID 83686-6313
Phone number: