Individual
DR. CRAIG A FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
437 WEST WHALEN ST, GUERNSEY, WY 82214-0250
(307) 836-9270
(307) 836-9275
Mailing address
PO BOX 224, GUERNSEY, WY 82214-0224
(307) 331-0371
(307) 836-9275
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2863
WY
Other
Enumeration date
10/10/2018
Last updated
10/10/2018
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