| Dr Tyler Anthony Frederick, PHARMD | |
|
102 W Main St, Warsaw, KY 41095-9300 | |
| (859) 567-4601 | |
| Not Available |
| Full Name | Dr Tyler Anthony Frederick |
|---|---|
| Gender | Male |
| Speciality | Pharmacist |
| Location | 102 W Main St, Warsaw, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427692425 | NPI | - | NPPES |
| 020737 | Other | KY | KENTUCKY BOARD OF PHARMACY |
| F11-171-186 | Other | KY | KENTUCKY DRIVER'S LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | 020737 (Kentucky) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tyler Anthony Frederick, PHARMD 5202 Eagles Peak Way Apt 204, Louisville, KY 40241-1389 Ph: (502) 744-0099 | Dr Tyler Anthony Frederick, PHARMD 102 W Main St, Warsaw, KY 41095-9300 Ph: (859) 567-4601 |
Jennifer L Grove, PHARM.D., R.PH. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 102 West Main Street, Warsaw, KY 41095 Phone: 859-567-4601 Fax: 859-567-4674 | |
Thomas M Beringer, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 102 W Main St, Warsaw, KY 41095 Phone: 850-567-4601 |