| 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 |