Individual
TYSON FREDRIKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
575 LISBON ST, LISBON FALLS, ME 04252-1114
(207) 353-4843
(207) 353-5009
Mailing address
575 LISBON ST, LISBON FALLS, ME 04252-1114
(207) 353-4843
(207) 353-5009
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR46135
ME
Other
Enumeration date
08/04/2016
Last updated
08/04/2016
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