Individual
DR. MICHAEL FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
325 SOUTHWEST DR STE A, JONESBORO, AR 72401-5854
(870) 935-1340
Mailing address
325 SOUTHWEST DR STE A, JONESBORO, AR 72401-5854
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD16630
AR
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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