NPI | 1689355489 |
---|---|
Doing Business As | FREIDERICA PHARMACY LTC |
Entity Type | Organization |
Authorized Contact | WALTER LYN FRUCHEY President 501-374-2207 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2023-07-26 |
Last Update Date | 2023-07-26 |