Individual
AMANDA MEMKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
501 6TH AVE S, PHARMACY DEPARTMENT, ST PETERSBURG, FL 33701-4634
(727) 767-8630
Mailing address
501 6TH AVE S, PHARMACY DEPARTMENT, ST PETERSBURG, FL 33701-4634
(727) 767-8630
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PS48979
FL
Other
Enumeration date
03/10/2014
Last updated
03/10/2014
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