IndividualActive
Jay Frederick, PHARMD
NPI 1144517665 · Pharmacist · Tacoma, WA
Provider details
- NPI number
- 1144517665
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- PH00061169 (WA)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
3320 S 23rd St
Tacoma, WA 98405-1603
Phone: (253) 414-0303
Approximate (ZIP-level) locationGet directions
Mailing address
3320 S 23rd St
Tacoma, WA 98405-1603
Registry dates
- Enumerated
- 2011-07-05
- Last updated
- 2011-07-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.