Individual
AMANDA BASTO TRIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, BCPS
Contact information
Practice address
1901 VETERANS MEMORIAL DR, (119T), TEMPLE, TX 76504-7451
(800) 423-2111
Mailing address
1901 VETERANS MEMORIAL DR, (119T), TEMPLE, TX 76504-7451
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
53537
TX
Other
Enumeration date
04/15/2014
Last updated
04/06/2017
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