Individual
AMANDA KHOURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
860 A1A N, PONTE VEDRA BEACH, FL 32082-3212
(904) 543-0762
(904) 280-9852
Mailing address
860 A1A N, PONTE VEDRA BEACH, FL 32082-3212
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS49359
FL
Other
Enumeration date
04/18/2013
Last updated
04/18/2013
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