Organization
AGS HOLDING LLC
Active
Other names
Anson Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LAP PAN CHU (OWNER,RPH,AO)
(419) 287-7088
Entity
Organization
Contact information
Practice address
209 BIERLEY AVE, PEMBERVILLE, OH 43450-7003
(419) 287-7088
(419) 287-7091
Mailing address
209 BIERLEY AVE, PO BOX 839, PEMBERVILLE, OH 43450-7003
(419) 287-7088
(419) 287-7091
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PMY.022861200-0
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2176668
PK
—
Enumeration date
01/29/2018
Last updated
07/19/2018
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