Individual
AMANDA GRACE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3301 7TH AVE, ANOKA, MN 55303-4516
(651) 431-5000
Mailing address
3301 7TH AVE, ANOKA, MN 55303-4516
(651) 431-5000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
022793
KY
183500000X
Pharmacist
Primary
126049
MN
183500000X
Pharmacist
31363
NC
183500000X
Pharmacist
43484
SC
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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