Fontaine, Gabriel Victor

Fontaine, Gabriel Victor is an individual health care provider with primary practice located at 8030 S 1400 E , Sandy UT 84093-6609. He recently has only one registered license in Pharmacy Service Providers / Pharmacotherapy, which is considered as his primary health care specialty. Fontaine, Gabriel Victor can be contacted via phone (207) 212-9170.

Contact Information

Primary practice address
8030 S 1400 E Sandy UT 84093-6609
Phone: (207) 212-9170
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacotherapy 1835P1200X 8327130-1701 Utah

Profile Details

NPI number 1447615687
LBN Legal business name Fontaine, Gabriel Victor
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2015
Last updated Dec 15th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers