Individual
MRS. LORI J FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
621 BROAD ST STE 100, STORY CITY, IA 50248-1200
(515) 733-2252
Mailing address
621 BROAD ST STE 100, STORY CITY, IA 50248-1200
(515) 733-2252
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20530
IA
Other
Enumeration date
10/23/2007
Last updated
10/23/2007
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