Individual
AMANDA MARIE SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
621 S MAIN ST, DU BOIS, PA 15801-1413
(814) 375-6165
Mailing address
127 VARISCHETTI RD, BROCKWAY, PA 15824-2201
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP446009
PA
Other
Enumeration date
10/19/2017
Last updated
10/19/2017
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