Individual
ALISA WUNGSIRIVESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6805 HOSPITAL DR, DUBLIN, OH 43016-8556
(614) 336-0431
Mailing address
6805 HOSPITAL DR, DUBLIN, OH 43016-8556
(614) 336-0431
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03439646
OH
Other
Enumeration date
01/05/2021
Last updated
01/21/2021
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