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Individual
AMANDA PETTYJOHN SUTER
Active
Individual
AMANDA PETTYJOHN SUTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202218049
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202218049
PHARMACIST LICENSE
VA
Enumeration date
08/06/2019
Last updated
12/17/2022
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