Individual
JOHN M FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
206 CROSSINGS LN, MOUNT JULIET, TN 37122-8547
(615) 758-7250
(615) 758-7281
Mailing address
206 CROSSINGS LN, MOUNT JULIET, TN 37122-8547
(615) 758-7250
(615) 758-7281
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22137
TN
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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