Individual
MRS. AMANDA LEA PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH, PHARMD
Contact information
Practice address
286 E 7TH ST, DOUGLAS, AZ 85607-2868
(520) 364-1358
Mailing address
53 SPRAY AVE, BISBEE, AZ 85603-1147
(619) 453-9526
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S024207
AZ
Other
Enumeration date
11/06/2021
Last updated
11/06/2021
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