| Larry Alan Fredericks, | |
|
242 N Oakland Ave, Nappanee, IN 46550-2319 | |
| (574) 773-7873 | |
| (574) 773-3673 |
| Full Name | Larry Alan Fredericks |
|---|---|
| Gender | Male |
| Speciality | Pharmacist |
| Location | 242 N Oakland Ave, Nappanee, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700473550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | 26013548A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Larry Alan Fredericks, 3 Meadow Ln, Nappanee, IN 46550-1152 Ph: (574) 221-1029 | Larry Alan Fredericks, 242 N Oakland Ave, Nappanee, IN 46550-2319 Ph: (574) 773-7873 |
Crystal Stickel, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 242 N Oakland Ave, Nappanee, IN 46550 Phone: 574-773-7873 Fax: 574-773-3673 | |
Dr. Kwanta Nathalang Wu, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1654 E Market St # 06467, Nappanee, IN 46550 Phone: 574-773-4311 | |
Linda Jean Letherman, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 242 N Oakland Ave, Nappanee, IN 46550 Phone: 574-773-7873 Fax: 574-773-3673 |