Individual
DR. DANIELLE FORTUNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
7494 US HIGHWAY 11, POTSDAM, NY 13676-3577
(315) 268-6917
Mailing address
7494 US HIGHWAY 11, POTSDAM, NY 13676-3577
(315) 268-6917
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
052688-1
NY
Other
Enumeration date
04/14/2010
Last updated
05/12/2010
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