Individual
MISS AMANDA NICOLE SHAWKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2025 WESTERN AVE, ALBANY, NY 12203-5021
(518) 456-5112
Mailing address
2025 WESTERN AVE, ALBANY, NY 12203-5021
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
059842
NY
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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