Individual
AMANDA LEE CAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1321 ALLEGHENY ST, JERSEY SHORE, PA 17740
(570) 398-9861
Mailing address
1321 ALLEGHENY ST, JERSEY SHORE, PA 17740
(570) 398-9861
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP452874
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP452874
PENNSYLVANIA STATE BOARD OF PHARMACY
PA
Enumeration date
09/28/2020
Last updated
09/28/2020
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