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Mark R Frederiksen, RPH
Pharmacist in Portage, Wisconsin
NPI 1043565526

Mark R Frederiksen is a Pharmacist based in Portage, WI. Mark R Frederiksen practices in Portage, WI and has the professional credentials of RPH. The NPI Number for Mark R Frederiksen is 1043565526 and holds a License No. 10269 (Wisconsin).

The current practice location address for Mark R Frederiksen is 2935 New Pinery Rd, Portage, WI and can be reached out via phone at 608-742-3886.

Location: 2935 New Pinery Rd, Portage, WI, 53901-9226
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043565526
Provider Name
Mark R Frederiksen
Credential
RPH
Provider Entity Type
Individual
Gender
Male
Address
2935 New Pinery Rd, Portage, WI, 53901-9226
Phone Number
608-742-3886
Fax Number
Provider Enumeration Date
07/19/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2935 New Pinery Rd
City
Portage
State
Wisconsin
Zip
53901-9226
Phone Number
608-742-3886
Fax Number
person
Provider Business Mailing Address Details
Address
2935 New Pinery Rd
City
Portage
State
Wisconsin
Zip
53901-9226
Phone Number
608-742-3886
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
10269 (Wisconsin)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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