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Individual

AMANDA CENCULA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
696 N HIGHWAY 67 ST, FLORISSANT, MO 63031-5106
(314) 830-7881
(314) 485-2134
Mailing address
418 W ARGONNE DR, KIRKWOOD, MO 63122-4134
(317) 529-7553

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
18144-40
WI
183500000X
Pharmacist
Primary
2019012772
MO
183500000X
Pharmacist
26026244A
IN

Other

Enumeration date
12/01/2020
Last updated
12/01/2020
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