Individual
DR. AMANDA SUCHECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
500 W 12TH AVE, COLUMBUS, OH 43210-1214
(937) 974-4665
Mailing address
4370 HOBNAIL CT, BEAVERCREEK, OH 45432-1859
(937) 974-4665
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03330928-3
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
283591
NABP
OH
Enumeration date
12/27/2011
Last updated
12/27/2011
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