Individual
AMANDA JO JANISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1025 MARSH ST, MANKATO, MN 56001
(507) 625-4031
Mailing address
2233 NW 58TH ST UNIT 618, SEATTLE, WA 98107-6110
(605) 881-2351
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
123230
MN
183500000X
Pharmacist
6401
SD
183500000X
Pharmacist
PH60677369
WA
Other
Enumeration date
05/31/2017
Last updated
07/10/2018
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