Individual
AMY S FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2524
Mailing address
1206 W CAMPUS DR, TEMPLE, TX 76502-7124
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
57128
TX
Other
Enumeration date
08/18/2015
Last updated
08/18/2015
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