Frederiksen, Zackary

Frederiksen, Zackary is an individual health care provider with primary practice located at 1678 S Woodsage Ave , Meridian ID 83642-8323. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, Pharmacy Service Providers / Pharmacist. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Frederiksen, Zackary can be contacted via phone (208) 550-2380.

Contact Information

Primary practice address
1678 S Woodsage Ave Meridian ID 83642-8323
Phone: (208) 550-2380
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X P10325 Idaho
Pharmacy Service Providers / Pharmacist 183500000X P10325 Idaho

Profile Details

NPI number 1336865534
LBN Legal business name Frederiksen, Zackary
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2022
Last updated Oct 18th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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