Individual
AMANDA ALEJANDRIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4000 AVENUE OF THE CITIES, MOLINE, IL 61265-4400
(309) 797-2588
Mailing address
1835 WINDING HILL RD, APT 1417, DAVENPORT, IA 52807-1366
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051294768
IL
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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