Individual
DR. CHARLES HUGH FREDERICK III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
2727 N MAIZE RD, WICHITA, KS 67205-7311
(316) 729-2798
Mailing address
14108 W TAYLOR CIR, WICHITA, KS 67235-8089
(806) 681-9777
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-14958
KS
183500000X
Pharmacist
43356
TX
Other
Enumeration date
11/16/2011
Last updated
11/16/2011
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