Individual
DR. AMANDA LEIGH PATSFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1250 PATROL RD STE 100, CHARLESTOWN, IN 47111-8670
(812) 850-7207
(812) 256-7339
Mailing address
2606 GREENUP RD, LOUISVILLE, KY 40217-2048
(502) 767-3721
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
013704
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013704
REGISTERED PHARMACIST
KY
01
—
26028059A
REGISTERED PHARMACIST
IN
Enumeration date
08/18/2018
Last updated
09/05/2019
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