Individual
DR. AMY FANOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, BCACP
Contact information
Practice address
525 S MAIN ST, RAABE COLLEGE OF PHARMACY, ADA, OH 45810-6000
(419) 772-2295
Mailing address
6030 INISHMORE LN, DUBLIN, OH 43017-3473
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03-1-31807
OH
Other
Enumeration date
09/02/2015
Last updated
09/03/2015
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