Jean Ann Fondriest
Pharmacist in Newark, OH. Individual provider (NPI-1).
NPI number1194308452
StatusActive
Last updated in NPPESMay 4, 2021
Details
- NPI
- 1194308452
- Entity type
- Individual (NPI-1)
- Name
- Jean Ann Fondriest
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 4, 2021
- Certification date
- May 3, 2021
- Last updated
- May 4, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 03317083 | OH | Yes |
Practice location
1320 W Main StNewark, OH 43055-1822
Phone 220-564-4152
Mailing address
1735 Welsh Hills RdGranville, OH 43023-9322
Phone 740-670-2543
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