Individual
AMANDA DIETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3700 MOYER RD, NORTH TONAWANDA, NY 14120-9552
(716) 692-7174
Mailing address
3700 MOYER RD, NORTH TONAWANDA, NY 14120-9552
(716) 692-7174
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
059334
NY
Other
Enumeration date
10/29/2014
Last updated
10/29/2014
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