DR. Amy Fanous, PHARMD, BCACP

NPI #1457729824 in Ada, Ohio

Provider Information

NPI Number: 1457729824
Entity Type: Individual
Name: DR. Amy Fanous, PHARMD, BCACP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD, BCACP
Enumeration Date: Sep 2, 2015
Last Updated: Sep 3, 2015

Practice Location

Address: 525 S MAIN ST
Address 2: RAABE COLLEGE OF PHARMACY
City: Ada
State: Ohio
ZIP Code: 45810-6000
Phone: (419) 772-2295

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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