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Individual
DR. TARA L FRICKE
Active
Individual
DR. TARA L FRICKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D., RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02782500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28RI0282500
PHARMACY LICENSE
NJ
Enumeration date
03/19/2010
Last updated
03/19/2010
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