Individual
MISS CHARLOTTE ROSE FREDERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1717 N E ST, PENSACOLA, FL 32501-6339
(850) 434-4549
(850) 434-4794
Mailing address
5920 OTTER POINT RD, PENSACOLA, FL 32504-7947
(850) 484-7055
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS29588
FL
Other
Enumeration date
02/04/2007
Last updated
07/08/2007
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