MEDICARE: CHRISTOPHER L FREDERICK RPH

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
1	183500000X	Pharmacist	03-3-21834	OH

General Provider Information

NPI Number	:	1831533850
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER L FREDERICK RPH

Provider Business Mailing Address
First Line	:	5707 HAMILTON LEBANON RD
Second Line	:
City	:	MIDDLETOWN
State	:	OH
Zip	:	45044-9284
Country	:	US
Telephone Number	:	513-465-6636
Fax Number	:

Provider Business Practice Location Address
First Line	:	4090 E GALBRAITH RD
Second Line	:
City	:	DEER PARK
State	:	OH
Zip	:	45236-2324
Country	:	US
Telephone Number	:	513-891-2808
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/21/2013
Last Update Date	:	04/21/2013

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