Individual
AMANDA ANN MCDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
7245 US 31 S, INDIANAPOLIS, IN 46227-8538
(317) 888-4048
Mailing address
43 RIDGE CT, GREENWOOD, IN 46142-7352
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26029915A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26029915A
PHARMACIST LICENSE
IN
Enumeration date
08/23/2022
Last updated
08/23/2022
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