Individual
ANDRYA MARIE MAMMEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R PH
Contact information
Practice address
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236-5638
(210) 292-7384
Mailing address
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236-9908
(210) 292-7384
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
35747
TX
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
35747
TX
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
N16493
IA
Other
Enumeration date
03/24/2010
Last updated
02/11/2026
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