Individual
MR. GREGORY W. FOGT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
120 W. MAIN ST., RUSSELLS POINT, OH 43348-0636
(937) 843-2048
(937) 843-2371
Mailing address
11659 N TOWNSHIP ROAD 88, LAKEVIEW, OH 43331-9379
(937) 843-5779
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03-1-10786
OH
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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