Individual
MRS. AMANDA K WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
BLDG 301 ANDREWS AVE, FORT RUCKER, AL 36362
(334) 255-7178
Mailing address
BLDG 301 ANDREWS AVE, FORT RUCKER, AL 36362
(334) 255-7178
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10780
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10780
PHARMACIST
AL
Enumeration date
09/12/2008
Last updated
04/03/2014
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