Provider Demographics
NPI:1598003386
Name:ISON, AMY E (PHARMD)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:E
Last Name:ISON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MRS
Other - First Name:AMY
Other - Middle Name:E
Other - Last Name:CRABTREE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:111 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25701-1219
Mailing Address - Country:US
Mailing Address - Phone:304-523-3502
Mailing Address - Fax:304-522-0891
Practice Address - Street 1:111 4TH AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25701-1219
Practice Address - Country:US
Practice Address - Phone:304-523-3502
Practice Address - Fax:304-522-0891
Is Sole Proprietor?:No
Enumeration Date:2013-01-29
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03132389183500000X
WVRP0007995183500000X
KY016078183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist