NPI 1013211549

Kenneth Alan Fredriksson, PHARMD

Practitioner Pharmacist Pensacola, FL

Practice location

Address: 2256 W Nine Mile Rd, Pensacola, FL 32534-9465
Phone: (850) 478-4450
Fax: (850) 478-4842

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence PS26774 (FL)

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Registry record

NPI: 1013211549
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Dec 2010
Record last updated: 23 Dec 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.