Individual
AMANDA RAE WOLTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1712 SPRING GREEN BLVD, KATY, TX 77494-6910
(281) 769-4361
Mailing address
1712 SPRING GREEN BLVD, KATY, TX 77494-6910
(281) 769-4361
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
51819
TX
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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