Individual
AMANDA NICOLE CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1901 VETERANS MEMORIAL DR, TEMPLE, TX 76504-7451
(530) 613-7508
Mailing address
404 S FRYERS CREEK CIR APT 710, TEMPLE, TX 76504-7582
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
69286
TX
Other
Enumeration date
09/12/2021
Last updated
09/12/2021
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