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DR. CRAIG A FREDERICK PHARMD

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1679048136

Individual Registrant:
DR. CRAIG A FREDERICK PHARMD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
437 WEST WHALEN ST  GUERNSEY, WY 82214-0250 US
Tel: 307-836-9270  Fax: 307-836-9275

Contact information for business:
PO BOX 224  GUERNSEY, WY 82214-0224 US
Tel: 307-331-0371  Fax: 307-836-9275

Registration Information:
NPI: 1679048136
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
WY2863

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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