Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK R FREDERIKSEN, R.PH.
ActiveMARK R FREDERIKSEN, R.PH. is a Pharmacist healthcare provider located in PORTAGE, Wisconsin. NPI 1043565526 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · PORTAGE, WI
Registration Details
- NPI Number
- 1043565526
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 19, 2012 (14.048731574804 yrs)
- Last Updated
- Jul 19, 2012
- License
-
10269 (WI)
Practice Information
- Address
-
2935 NEW PINERY RDPORTAGE, WI, 539019226Browse WI providers · Browse ZIP 53901
- Phone
- 6087423886
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in PORTAGE, WI
| Name | Credential | NPI |
|---|---|---|
| JEFFREY ROBERT HEBL | R.PH | 1770868846 |
| DAVID RICHARD JACOBSON | PHARMD | 1194000232 |
| MR. RANDY LEE GRIFFITHS | PHARM D. | 1356626444 |
| TIFFANIE MARION WRIGHT | PHARMD | 1154692291 |
| GREGORY WEAVER | RPH | 1891051744 |
| MRS. KASHEA LYFOUNG | PHARM.D. | 1538425525 |
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.