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NPI Code Detail

MEDICARE: MS. CINDY R. FREDERICK R.PH.

MEDICARE: MS. CINDY R. FREDERICK R.PH.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835P1300XPsychiatric PharmacistPH00011624WA

General Provider Information

NPI Number : 1427057850
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CINDY R. FREDERICK R.PH.
Provider Business Mailing Address
First Line : 207 PIERCE ST
Second Line :
City : STEILACOOM
State : WA
Zip : 98388-2004
Country : US
Telephone Number : 253-756-2691
Fax Number : 253-756-3950
Provider Business Practice Location Address
First Line : 9601 STEILACOOM BLVD SW
Second Line : WESTERN STATE HOSPITAL
City : LAKEWOOD
State : WA
Zip : 98498-7213
Country : US
Telephone Number : 253-756-2691
Fax Number : 253-756-3950
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2005
Last Update Date : 07/08/2007

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