Individual
AMANDA HUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 581-6314
Mailing address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P10107
ID
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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