Individual
DR. AMANDA BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
2330 NIAGARA FALLS BLVD, TONAWANDA, NY 14150-4759
(716) 693-9666
Mailing address
2330 NIAGARA FALLS BLVD, TONAWANDA, NY 14150-4759
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
053607
NY
Other
Enumeration date
07/19/2009
Last updated
07/19/2009
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