Individual
JAMIE KOSANKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1330 MICHIGAN AVE, WATERVILLE, OH 43566
(419) 878-8384
Mailing address
6951 YAWBERG RD, WHITEHOUSE, OH 43571
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03113620
OH
Other
Enumeration date
04/08/2011
Last updated
04/08/2011
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