Individual
AMANDA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 WALMART DR, NORTH VERSAILLES, PA 15137-1535
(412) 816-0307
Mailing address
6417 KENTUCKY AVE APT 2, PITTSBURGH, PA 15206-4429
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP451821
PA
Other
Enumeration date
09/11/2018
Last updated
09/11/2018
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