Individual
AMANDA JOAN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
522 TORRENCE AVE, CALUMET CITY, IL 60409-3216
(708) 868-5669
(708) 868-5694
Mailing address
522 TORRENCE AVE, CALUMET CITY, IL 60409-3216
(708) 868-5669
(708) 868-5694
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051290549
IL
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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