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Martin Fregoe

Pharmacist in Ogdensburg, NY. Individual provider (NPI-1).

NPI number1396262002
StatusActive
Last updated in NPPESAug 23, 2017

Details

NPI
1396262002
Entity type
Individual (NPI-1)
Name
Martin Fregoe
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 23, 2017
Last updated
Aug 23, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist063196NYYes

Practice location

908 State St
Ogdensburg, NY 13669-3348

Phone 315-393-1714

Mailing address

812 County Route 53
Brasher Falls, NY 13613-3222

Phone 315-323-6403

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