Individual
MR. FRED GORDON FRIEDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2920 WHITE BEAR AVE N, MAPLEWOOD, MN 55109-1304
(651) 251-9938
Mailing address
1415 ROSEWOOD CT, NEW BRIGHTON, MN 55112-5583
(651) 636-6870
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
011703
MN
Other
Enumeration date
10/28/2011
Last updated
10/28/2011
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