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Organization
AGS HOLDING LLC
Active
Organization
AGS HOLDING LLC
Active
Other names
Anson Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LAP PAN CHU PHARMD (OWNER)
(419) 699-5539
Entity
Organization
Contact information
Practice address
25684 DIXIE HWY, PERRYSBURG, OH 43551-2019
(419) 874-8878
(419) 874-8898
Mailing address
25684 DIXIE HWY, PERRYSBURG, OH 43551-2019
(419) 874-8878
(419) 874-8898
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
022300350
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2139167
PK
—
Enumeration date
03/06/2013
Last updated
11/04/2014
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