MICHAEL BRUCE FREDERICKSON

MULLINS, SC
NPI1982092714
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: SC  35465)
Enumeration Date2015-01-01
Last Update Date2015-01-01
Business Address
-- MICHAEL BRUCE FREDERICKSON R.Ph.
305 COMMERCE DR
MULLINS, SC 29574-6241
Phone number: 843-423-9444
Mailing Address
-- MICHAEL BRUCE FREDERICKSON R.Ph.
916 N POPLAR DR
SURFSIDE BEACH, SC 29575-4170
Phone number: 260-450-4303