Individual
MR. LOUIS D FRONTALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
3 LEE RDG, BALDWINSVILLE, NY 13027-9254
(315) 635-4737
Mailing address
3 LEE RIDGE, BALDWINSVILLE, NY 13027
(315) 635-4734
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
36897
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36897
PHARMACIST
NY
Enumeration date
04/25/2007
Last updated
07/08/2007
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