Individual
AMANDA MARIE KREBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
605 COURTLAND BLVD, DELTONA, FL 32738-8913
(407) 321-5421
Mailing address
1312 LODGE TER, DELTONA, FL 32738-9729
(513) 373-1651
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS57964
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03337158
PHARMACIST LICENSE NUMBER
OH
01
—
PS57964
PHARMACIST LICENSE NUMBER
FL
Enumeration date
08/08/2018
Last updated
08/08/2018
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