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Individual

AMANDA MICHELE STAHNKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
6010 BOND AVE, CENTREVILLE, IL 62207-2328
(618) 337-8153
Mailing address
745 ESTES PARK DR, SAINT PETERS, MO 63376-2090
(314) 800-4128

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2010022992
MO

Other

Enumeration date
07/25/2010
Last updated
04/13/2012
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