Doctor Name: | MR. DEVIN COLE FREDERICK |
NPI Number: | 1528241684 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 11134 Q St Omaha, NE - 681373609 |
Business Phone Number: | 4025925244 |
Business Fax Number: | 4025922501 |
Mailing Address: | 3324 N 105th Plz, Apt 1436 OMAHA |
State: | NE |
Postal Code: | 681343658 |
Phone Number: | 4028125809 |
Fax Number: | |
NPI Enumeration Date: | 12/12/2007 |
NPI Last Update Date: | 12/12/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 183700000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacy Technician |
Taxonomy Specialization: | |
Taxonomy Definition: | A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |