Individual
ASHLEY BETH PRUSAKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
700 CHILDRENS DR, COLUMBUS, OH 43205-2639
(614) 722-2000
Mailing address
801 TIMBERMAN RD, COLUMBUS, OH 43212-3816
(719) 433-3255
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03334892
OH
183500000X
Pharmacist
051.297686
IL
183500000X
Pharmacist
23400
CO
183500000X
Pharmacist
75614
CA
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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