DR. Amiee Kristin Kota Provost, PHARMD
NPI #1457673816 in Plattsburgh, New York
Provider Information
- NPI Number
- 1457673816
- Entity Type
- Individual
- Name
- DR. Amiee Kristin Kota Provost, PHARMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Credential
- PHARMD
- Enumeration Date
- Feb 25, 2010
- Last Updated
- Feb 25, 2010
Practice Location
- Address
- 25 CONSUMER SQ
- City
- Plattsburgh
- State
- New York
- ZIP Code
- 12901-6508
- Phone
- (518) 561-0680
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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