Individual
KAREN SUE AMIDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
4700 N GALLOWAY AVE, MESQUITE, TX 75150-1516
(972) 698-3140
Mailing address
430 TRAIL VIEW LN, GARLAND, TX 75043-5628
(972) 682-5438
Taxonomy
Speciality
Code
Description
License number
State
1835X0200X
Oncology Pharmacist
Primary
30813
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30813
PHARMACY LICENSE NUMBER
TX
Enumeration date
11/08/2006
Last updated
07/08/2007
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