JACOB FREDERICKS

SPRINGFIELD, IL
NPI1356066120
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: IL  051.304276)
Enumeration Date2022-10-05
Last Update Date2022-10-05
Business Address
JACOB FREDERICKS
3100 S MACARTHUR BLVD
SPRINGFIELD, IL 62704-5800
Phone number: 217-528-4926
Mailing Address
JACOB FREDERICKS
708 W OAK ST
GILLESPIE, IL 62033-1240
Phone number:
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ILLINOIS PHARMACISTS MANAGEMENT ENTERPRISES, LLC