Individual
ALLISON AGOSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
22291 US HIGHWAY 6, GRAND RAPIDS, OH 43522-9762
(419) 601-2397
Mailing address
22291 US HIGHWAY 6, GRAND RAPIDS, OH 43522-9762
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03233526-2
OH
Other
Enumeration date
06/17/2014
Last updated
06/17/2014
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