NPI 1053693945

Mark Froidl

Practitioner Pharmacist Fenton, MO

Practice location

Address: 1001 Bowles Ave, Fenton, MO 63026-2338
Phone: (636) 343-0754

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 2000164250 (MO)

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Registry record

NPI: 1053693945
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Sep 2011
Record last updated: 15 Sep 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.