Individual
AMANDA HAWES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13178 N DALE MABRY HWY, TAMPA, FL 33618-2406
(813) 961-2658
Mailing address
11531 GLENMONT DR, TAMPA, FL 33635-1533
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS63193
FL
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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