Individual
JEAN ANN FONDRIEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 W MAIN ST, NEWARK, OH 43055-1822
(220) 564-4152
Mailing address
1735 WELSH HILLS RD, GRANVILLE, OH 43023-9322
(740) 670-2543
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03317083
OH
Other
Enumeration date
05/04/2021
Last updated
05/04/2021
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