| Mark R Frederiksen, RPH | |
|
2935 New Pinery Rd, Portage, WI 53901-9226 | |
| (608) 742-3886 | |
| Not Available |
| Full Name | Mark R Frederiksen |
|---|---|
| Gender | Male |
| Speciality | Pharmacist |
| Location | 2935 New Pinery Rd, Portage, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043565526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | 10269 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mark R Frederiksen, RPH 2935 New Pinery Rd, Portage, WI 53901-9226 Ph: (608) 742-3886 | Mark R Frederiksen, RPH 2935 New Pinery Rd, Portage, WI 53901-9226 Ph: (608) 742-3886 |
Madison Lee, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 2817 New Pinery Rd, Portage, WI 53901 Phone: 608-742-4131 | |
Tiffanie Marion Wright, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 2700 New Pinery Rd, Portage, WI 53901 Phone: 608-742-5727 Fax: 608-745-4217 | |
David Richard Jacobson, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 2700 New Pinery Rd, Portage, WI 53901 Phone: 608-742-5727 Fax: 608-745-4217 | |
Ciaran Patrick Kelly, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 2950 New Pinery Rd, Portage, WI 53901 Phone: 608-742-1670 | |
Mr. Randy Lee Griffiths, PHARM D. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 2700 New Pinery Rd, Portage, WI 53901 Phone: 608-742-5727 Fax: 608-745-4217 | |
Mrs. Kashea Lyfoung, PHARM.D. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 2935 New Pinery Rd, Portage, WI 53901 Phone: 608-742-3886 |