Provider Demographics
NPI:1427331438
Name:FRIEHAUF, JEANETTE ALICE (RPH)
Entity type:Individual
Prefix:MRS
First Name:JEANETTE
Middle Name:ALICE
Last Name:FRIEHAUF
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8619 W PAYETTE CT
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-8152
Mailing Address - Country:US
Mailing Address - Phone:509-735-2227
Mailing Address - Fax:
Practice Address - Street 1:800 SWIFT BLVD
Practice Address - Street 2:STE. 160
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-3549
Practice Address - Country:US
Practice Address - Phone:509-943-9121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-26
Last Update Date:2011-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00014511183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist