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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RICHARD P FREDERICKSON02/

Active

RICHARD P FREDERICKSON02/ is a Pharmacist healthcare provider located in MANDEVILLE, Louisiana. NPI 1023390168 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · MANDEVILLE, LA

Registration Details

NPI Number
1023390168
Provider Type
Individual
Gender
Male
NPI Issued
Sep 14, 2011 (14.911094688721 yrs)
Last Updated
Sep 14, 2011
License
11041 (LA)

Practice Information

Address
4540 HIGHWAY 22
MANDEVILLE, LA, 704713300
Browse LA providers · Browse ZIP 70471
Phone
9856743320
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in MANDEVILLE, LA

Name Credential NPI
MR. LOUIS PHILIP WINGERTER RPH 1336251420
MS. ALISON CECILE BLANCHAT RPH 1972694578
MR. GREGORY L SCALLON 1942391560
MR. DIANE W ROMEO 1649362203
DIANE H KRAFT RPH 1780708651
CAROLYN CONTI FLOITT RPH 1265657365
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.