Individual
AMANDA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
430 SPENCERPORT RD, ROCHESTER, NY 14606-5219
(585) 247-1710
Mailing address
430 SPENCERPORT RD, ROCHESTER, NY 14606-5219
(585) 247-1710
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
055812
NY
Other
Enumeration date
10/26/2011
Last updated
07/21/2022
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