MEDICARE: NGAN-THI AUGUSTIN PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	03446223	OH

General Provider Information

NPI Number	:	1588528582
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NGAN-THI AUGUSTIN PHARMD

Provider Business Mailing Address
First Line	:	144 N MAIN ST
Second Line	:
City	:	POLAND
State	:	OH
Zip	:	44514-1632
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	144 N MAIN ST
Second Line	:
City	:	POLAND
State	:	OH
Zip	:	44514-1632
Country	:	US
Telephone Number	:	989-495-8603
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/13/2025
Last Update Date	:	12/13/2025

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