Individual
AMANDA RENEE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1200 N MULDOON RD, SUITE F, ANCHORAGE, AK 99504-6106
(907) 269-2101
Mailing address
1200 N MULDOON RD, SUITE F, ANCHORAGE, AK 99504-6106
(907) 269-2101
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-13996
MS
Other
Enumeration date
08/18/2015
Last updated
08/18/2015
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