Individual
MISS AMANDA AUTUMN LEICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
409 S LOCUST ST, GLENWOOD, IA 51534-1826
(712) 527-4006
(712) 527-4113
Mailing address
409 S LOCUST ST, GLENWOOD, IA 51534-1826
(712) 527-4006
(712) 527-4113
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20202
IA
Other
Enumeration date
03/26/2007
Last updated
04/13/2026
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