Individual
AMANDA LEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
223 BOX BUTTE AVE, ALLIANCE, NE 69301-3741
(308) 762-4811
Mailing address
1522 BIG HORN AVE, ALLIANCE, NE 69301-2433
(308) 249-3755
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15795
NE
Other
Enumeration date
04/04/2019
Last updated
04/04/2019
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