Individual
AMANDA LEE VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2900 DEVILS GLEN RD, BETTENDORF, IA 52722-3381
(563) 332-2983
(563) 332-0804
Mailing address
6590 DOROTHYS DR, BETTENDORF, IA 52722-4817
(563) 340-2954
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051.292775
IL
183500000X
Pharmacist
Primary
20875
IA
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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