Alisa Wungsirivesh

NPI #1245828359 in Dublin, Ohio

Provider Information

NPI Number: 1245828359
Entity Type: Individual
Name: Alisa Wungsirivesh
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Jan 5, 2021
Last Updated: Jan 21, 2021

Practice Location

Address: 6805 HOSPITAL DR
City: Dublin
State: Ohio
ZIP Code: 43016-8556
Phone: (614) 336-0431

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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