Individual
JENNIFER LYNN FRERICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
4607 QUAIL CREEK DR, QUINCY, IL 62305-9222
(217) 224-8162
Mailing address
4607 QUAIL CREEK DR, QUINCY, IL 62305-9222
(217) 224-8162
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
IL
Other
Enumeration date
06/22/2007
Last updated
07/08/2007
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