JACK L FOGELSONGER

CHESAPEAKE, VA
NPI1770863409
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: VA  0202001613)
Enumeration Date2011-08-25
Last Update Date2011-08-25
Business Address
Mr. JACK L FOGELSONGER rph
1316 BATTLEFIELD BLVD N
CHESAPEAKE, VA 23320-4517
Phone number: 757-548-4217
Mailing Address
Mr. JACK L FOGELSONGER rph
909 SHOAL CREEK TRL
CHESAPEAKE, VA 23320-9414
Phone number: 757-410-7775
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