Individual
DANIEL FOGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3650 WHEELER RD, AUGUSTA, GA 30909-6520
(706) 210-7991
Mailing address
3650 WHEELER RD, AUGUSTA, GA 30909-6520
(706) 210-7991
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH029101
GA
Other
Enumeration date
06/20/2016
Last updated
06/20/2016
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