Individual provider · Type 1 NPI

Fre'daiza La'shon Tucker

Pharmacist · Vidor, TX

NPI number 1407794795 Active

Practice location

1305 N Main St
Vidor, TX 77662-3726

Specialties and licenses

Taxonomy	Code	License
Pharmacist Primary	183500000X	77000 (TX)

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…

5 other providers at this address

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About NPI 1407794795

Fre'daiza La'shon Tucker's National Provider Identifier is 1407794795, issued on Mar 25, 2026. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Vidor, TX. The record was last updated on Sep 7, 2026.