Individual
GREGORY L FONDONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
1058 COLLEGE DR, NEW TOWN, ND 58763-9112
(701) 627-7623
Mailing address
2393 27TH AVE S APT 110, GRAND FORKS, ND 58201-6498
(701) 885-9102
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH6097
ND
Other
Enumeration date
04/11/2019
Last updated
04/11/2019
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