| Mr Terry Allen Frederick, | |
|
1801 Main St, Jeanerette, LA 70544-3423 | |
| (337) 276-4101 | |
| Not Available |
| Full Name | Mr Terry Allen Frederick |
|---|---|
| Gender | Male |
| Speciality | Pharmacist |
| Location | 1801 Main St, Jeanerette, Louisiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891821310 | NPI | - | NPPES |
| 1207624 | Medicaid | LA | |
| 1906241 | Other | LA | NABP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | 10346 (Louisiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Terry Allen Frederick, 1801 Main St, Jeanerette, LA 70544-3423 Ph: (337) 276-4101 | Mr Terry Allen Frederick, 1801 Main St, Jeanerette, LA 70544-3423 Ph: (337) 276-4101 |
Gabrielle Larroque Roussel, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1305 Main St, Jeanerette, LA 70544 Phone: 337-276-5001 Fax: 337-276-4202 | |
Mrs. Savitra Antoine Collins, R PH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1411 Main St, Jeanerette, LA 70544 Phone: 337-276-4249 Fax: 337-276-7472 |