Individual
AMANDA NEYHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
111 WASHINGTON AVE NW, WAGNER, SD 57380-4300
(605) 384-3621
(605) 384-5229
Mailing address
111 WASHINGTON AVE NW, WAGNER, SD 57380-4300
(605) 384-3621
(605) 384-5229
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
5382
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5382
PHARMACIST LICENSE NUMBER
SD
Enumeration date
08/22/2018
Last updated
08/22/2018
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