Individual
CATHERINE ELIZABETH FREDERICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D, RPH
Contact information
Practice address
3570 HARDEN BLVD, T-1299, LAKELAND, FL 33803-5928
(863) 648-0512
(863) 648-0512
Mailing address
3570 HARDEN BLVD, T-1299, LAKELAND, FL 33803-5928
(863) 648-0512
(863) 648-0512
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS37770
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022376000
—
FL
01
—
1090478
NCPDP
FL
01
—
1881616431
PHARMACY'S NPI
FL
Enumeration date
06/09/2011
Last updated
06/09/2011
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