Individual
DR. AMANDA MARIE DETORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
381 MOUNT HOPE AVE, ROCKAWAY, NJ 07866-1645
(973) 989-7984
Mailing address
381 MOUNT HOPE AVE, ROCKAWAY, NJ 07866-1645
(973) 989-7984
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
28RI04241200
NJ
183500000X
Pharmacist
Primary
RP456657
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28RI04241200
LICENSE NUMBER
—
Enumeration date
05/04/2022
Last updated
06/09/2026
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