Individual
AMANDA KLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3649 S HASTINGS WAY, EAU CLAIRE, WI 54701-8182
(715) 838-0196
Mailing address
3649 S HASTINGS WAY, EAU CLAIRE, WI 54701-8182
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
121888
MN
183500000X
Pharmacist
Primary
17811-40
WI
Other
Enumeration date
07/25/2014
Last updated
08/04/2015
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