Individual
MRS. FRED A NOWAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
1601 MONMOUTH ST, NEWPORT, KY 41071-2634
(859) 291-7343
Mailing address
1601 MONMOUTH ST, NEWPORT, KY 41071-2634
(859) 291-7343
(859) 291-8169
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
010647
KY
Other
Enumeration date
09/03/2011
Last updated
09/20/2011
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