Individual
CHARLES FREDSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
927 TRETTEL LN, CLOQUET, MN 55720-1345
(218) 879-1227
(218) 878-3739
Mailing address
29 BIRCH DR, ESKO, MN 55733-9642
(218) 879-9746
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
111631-7
MN
Other
Enumeration date
10/06/2005
Last updated
07/08/2007
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