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Justin Fredericksen
NPI 1174851612 · on the registry since 2009 · sole proprietor
Practice
- Address
- 11550 Meridian Market Vw
Falcon, CO 80831 - Phone
- (719) 522-2989
- Organisation at this address
- Walmart Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-10-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado