Individual
AMANDA CHANDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3204 WILLIAMS DR, GEORGETOWN, TX 78628-2413
(512) 869-0157
(512) 863-6258
Mailing address
3204 WILLIAMS DR, GEORGETOWN, TX 78628-2413
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
40874
TX
Other
Enumeration date
12/16/2009
Last updated
12/16/2009
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