Individual provider · Type 1 NPI
Mark R. Frederiksen, R.PH.
Pharmacist · Portage, WI
Practice location
2935 New Pinery Rd
Portage, WI 53901-9226
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 10269 (WI) |
Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…
3 other providers at this address
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- Randy Lee Griffiths, PHARM D.Pharmacist Portage, WI NPI 1356626444
- Kashea Lyfoung, PharmDPharmacist Portage, WI NPI 1538425525
- Daniel John Sobczak, RPHPharmacist Portage, WI NPI 1568061745
- John Clifton Mattern, PharmDPharmacist Portage, WI NPI 1598582082
About NPI 1043565526
Mark R. Frederiksen, R.PH.'s National Provider Identifier is 1043565526, issued on Jul 19, 2012. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Portage, WI. The record was last updated on Jul 19, 2012.