Individual
AMANDA LYNN FAUGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
805 N DICKINSON DR, RUSK, TX 75785-1006
(903) 683-7170
(903) 683-7996
Mailing address
235 COUNTY ROAD 1515, JACKSONVILLE, TX 75766-7590
(281) 794-1137
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
56977
TX
Other
Enumeration date
08/12/2015
Last updated
10/20/2021
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