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Individual

DR. AMANDA LEANN ROTHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
1201 W LOUIS HENNA BLVD, AUSTIN, TX 78681-2569
(512) 248-7050
Mailing address
7701 RIALTO BLVD APT 101, AUSTIN, TX 78735-7409
(361) 772-5167

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
51623
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51623
TEXAS STATE BOARD OF PHARMACY - LICENSE
TX
Enumeration date
08/11/2025
Last updated
08/11/2025
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