Individual
MRS. AMANDA SUE GUFFEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
1006 WOODWARD AVE, BELOIT, WI 53511-5427
(608) 362-1234
(608) 362-2744
Mailing address
1006 WOODWARD AVE, BELOIT, WI 53511-5427
(608) 362-1234
(608) 362-2744
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33065700
—
WI
Enumeration date
11/07/2012
Last updated
11/07/2012
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