Individual
ANDREW FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
890 N RESLER DR, EL PASO, TX 79912-7029
(915) 584-1359
Mailing address
890 N RESLER DR, EL PASO, TX 79912-7029
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
57295
TX
Other
Enumeration date
11/22/2015
Last updated
11/22/2015
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