Larry Alan Fredericks
Pharmacist · Nappanee, IN
Practice location
242 N Oakland AveNappanee, IN 46550-2319
- Phone
- (574) 773-7873
- Fax
- (574) 773-3673
NPI record
- NPI
- 1700473550
- Entity type
- Individual (Type 1)
- Enumeration date
- December 28, 2020
- Last updated
- December 28, 2020
- Certified
- December 28, 2020
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X |
26013548A | IN |
Mailing address
3 Meadow LnNappanee, IN 46550-1152
- Phone
- (574) 221-1029
About Larry Fredericks
Larry Alan Fredericks is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 242 N Oakland Ave, Nappanee, IN 46550-2319. The NPI number 1700473550 was assigned on December 28, 2020 and the record was last updated on December 28, 2020.
Larry Fredericks lists a license in the registry: #26013548A (IN) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Larry Alan Fredericks?
The NPI number is 1700473550.
What is the phone number of Larry Fredericks?
The phone number listed for the practice location is (574) 773-7873.
Where is Larry Fredericks located?
242 N Oakland Ave, Nappanee, IN 46550-2319.
What is the taxonomy code for Larry Fredericks?
The primary taxonomy code is 183500000X – Pharmacist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Pharmacist providers in Nappanee
- Crystal Stickel, PHARMD242 N Oakland Ave
- Kwanta Nathalang Wu, PHARMD1654 E Market St # 06467
- Linda Jean Letherman242 N Oakland Ave
- Paul Adam Barrow1654 E Market St