Dr. Melissa Fredericks, PharmD
Pharmacist in Penitas, TX. Individual provider (NPI-1).
NPI number1124628136
StatusActive
Last updated in NPPESOct 28, 2020
Details
- NPI
- 1124628136
- Entity type
- Individual (NPI-1)
- Name
- Dr. Melissa Fredericks
- Credential
- PharmD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 28, 2020
- Certification date
- Oct 28, 2020
- Last updated
- Oct 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 57112 | TX | Yes |
Practice location
1705 Expressway 83Penitas, TX 78576-8626
Phone 956-580-1511 · Fax 956-580-1652
Mailing address
1705 Expressway 83Penitas, TX 78576-8626
Phone 956-580-1511 · Fax 956-580-1652
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