Individual
MR. FREDERICK IENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
4420 MERIDIAN ST, BELLINGHAM, WA 98226-8087
(360) 647-1611
(360) 647-2316
Mailing address
4420 MERIDIAN ST, BELLINGHAM, WA 98226-8087
(360) 647-1611
(360) 647-2316
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
18381
TX
183500000X
Pharmacist
Primary
PH60040384
WA
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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