Individual
THERESA B FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2233 6TH ST, BROOKINGS, SD 57006-1731
(605) 692-1858
Mailing address
112 NICKLAUS RIDGE RD, ARLINGTON, SD 57212-6603
(605) 881-4250
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
R-5037
SD
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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