Individual
AMANDA NICOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
200 W 1ST ST, PAYNESVILLE, MN 56362-1445
(320) 243-3767
Mailing address
25108 CYRILLA BEACH RD, PAYNESVILLE, MN 56362-9711
(218) 290-8161
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
127071
MN
Other
Enumeration date
08/15/2025
Last updated
08/18/2025
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