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
ZIP Code
12901-6508
Phone
(518) 561-0680

Specialties & Taxonomy Codes

Specialty
Pharmacist

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