Individual
MR. FREDERICK G CARODINE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 HUNTSVILLE HWY, FAYETTEVILLE, TN 37334-3442
(931) 433-5569
(931) 433-8671
Mailing address
1000 HUNTSVILLE HWY, FAYETTEVILLE, TN 37334-3442
(931) 433-5569
(931) 433-8671
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11660
LA
183500000X
Pharmacist
15489
AL
183500000X
Pharmacist
26683
TN
Other
Enumeration date
09/15/2011
Last updated
09/15/2011
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