| NPI | 1982778379 |
|---|---|
| Doing Business As | FREDERICK PHARMACY INC |
| Entity Type | Organization |
| Authorized Contact | SHANE KELLY Owner 580-335-5501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 424719) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2019-10-14 |