Organization
TARGET
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA MARIE ANDEL PHARM D (PHARMACIST)
(614) 563-6641
Entity
Organization
Contact information
Practice address
1717 OLENTANGY RIVER RD, COLUMBUS, OH 43212
(614) 298-1078
Mailing address
5122 POLAR DR, LEWIS CENTER, OH 43035
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
03325661
OH
Other
Enumeration date
07/03/2014
Last updated
07/03/2014
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