Provider Demographics
NPI:1922009489
Name:LOMBARDO, FREDRIC ALAN (PHARMD, MS, RPH)
Entity Type:Individual
Prefix:DR
First Name:FREDRIC
Middle Name:ALAN
Last Name:LOMBARDO
Suffix:
Gender:M
Credentials:PHARMD, MS, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13503 APPLE BARREL CT
Mailing Address - Street 2:
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20171-4006
Mailing Address - Country:US
Mailing Address - Phone:202-806-4205
Mailing Address - Fax:
Practice Address - Street 1:2300 4TH STREET, NW
Practice Address - Street 2:SCHOOL OF PHARMACY, HOWARD UNIVERSITY
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20059-0001
Practice Address - Country:US
Practice Address - Phone:202-806-4205
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPH31881835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy