Provider Demographics
NPI:1285169995
Name:ISON, ABIGAIL E (PHARMD)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:E
Last Name:ISON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 WAVERLY PLZ
Mailing Address - Street 2:
Mailing Address - City:WAVERLY
Mailing Address - State:OH
Mailing Address - Zip Code:45690-1222
Mailing Address - Country:US
Mailing Address - Phone:740-947-9299
Mailing Address - Fax:740-941-0792
Practice Address - Street 1:220 WAVERLY PLZ
Practice Address - Street 2:
Practice Address - City:WAVERLY
Practice Address - State:OH
Practice Address - Zip Code:45690-1222
Practice Address - Country:US
Practice Address - Phone:740-947-9299
Practice Address - Fax:740-941-0792
Is Sole Proprietor?:No
Enumeration Date:2017-05-01
Last Update Date:2020-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03233989183500000X, 1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist