Individual
AMANDA KNOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1260 E STATE ROAD 205, COLUMBIA CITY, IN 46725-9492
(260) 248-9520
Mailing address
1260 E STATE ROAD 205, COLUMBIA CITY, IN 46725-9492
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26021697A
IN
Other
Enumeration date
07/06/2018
Last updated
07/06/2018
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