Provider Demographics
NPI:1932482254
Name:SYDNOR, FREYA INGER (PHARMD)
Entity Type:Individual
Prefix:MS
First Name:FREYA
Middle Name:INGER
Last Name:SYDNOR
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WOODLAND
Mailing Address - State:CA
Mailing Address - Zip Code:95695-3016
Mailing Address - Country:US
Mailing Address - Phone:530-668-8595
Mailing Address - Fax:530-668-8866
Practice Address - Street 1:10 W MAIN ST
Practice Address - Street 2:
Practice Address - City:WOODLAND
Practice Address - State:CA
Practice Address - Zip Code:95695-3016
Practice Address - Country:US
Practice Address - Phone:530-668-8595
Practice Address - Fax:530-668-8866
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-22
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA47258183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist