Individual
KARL FREDERIKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2302 S 17TH ST, WILMINGTON, NC 28401-7902
(910) 392-1180
Mailing address
812 SAINT ANDREWS DR, APT D, WILMINGTON, NC 28412-8363
(910) 274-5748
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20420
NC
Other
Enumeration date
08/23/2011
Last updated
08/23/2011
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