Individual
DR. HEATHER JOY FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD RPH
Contact information
Practice address
2727 N MAIZE RD, T-1945, WICHITA, KS 67205-7311
(316) 721-4289
Mailing address
2727 N MAIZE RD, T-1945, WICHITA, KS 67205-7311
(316) 721-4289
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-15199
KS
Other
Enumeration date
11/10/2011
Last updated
11/10/2011
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