Individual
AMBER J ENTERLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4100 W 3RD STREET, ATTN PHARMACY, DAYOTN, OH 45428
(937) 268-6511
Mailing address
4100 W 3RD STREET, ATTN PHARMACY, DAYOTN, OH 45428
(937) 268-6511
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03132239
OH
183500000X
Pharmacist
S019517
AZ
Other
Enumeration date
08/28/2013
Last updated
03/07/2016
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