Individual
PATRICIA ANN FOGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
260 COURT ST STE 6, MIDDLEBURY, VT 05753-4427
(802) 388-6349
Mailing address
260 COURT ST STE 6, MIDDLEBURY, VT 05753-4427
(802) 388-6349
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
033.0003512
VT
Other
Enumeration date
11/25/2020
Last updated
11/25/2020
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