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

DR. JUSTIN FREDERICKSEN

Active Sole Proprietor

DR. JUSTIN FREDERICKSEN is a Pharmacist healthcare provider located in FALCON, Colorado. NPI 1174851612 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · FALCON, CO

Registration Details

NPI Number
1174851612
Provider Type
Individual
Gender
Male
NPI Issued
Nov 20, 2009 (16.725219416644 yrs)
Last Updated
Oct 21, 2025
License
0020781 (CO)
Sole Proprietor
Yes

Practice Information

Address
11550 MERIDIAN MARKET VW
FALCON, CO, 808318241
Browse CO providers · Browse ZIP 80831
Phone
7195222989
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in FALCON, CO

Name Credential NPI
THOMAS PUTNEY RPH 1649570516
MARK FROELICH PHARM. D 1053611772
DR. WENDY POLLARD PHARMD 1235406430
DR. JOHN ROBERT LLOYD PHARMD 1598198889
LAUREN N STACKHOUSE PHARM.D. 1689082158
DR. CAROLINE RUHLIG PHARMD. 1326418674
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.