Individual
AGUSTIN FORTANELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
306 N MECHANIC ST, EL CAMPO, TX 77437-4420
(254) 368-4448
Mailing address
306 N MECHANIC ST, EL CAMPO, TX 77437-4420
(979) 578-8609
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
30106564
TX
Other
Enumeration date
01/14/2021
Last updated
01/14/2021
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