Individual
AMANDA VICKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11310 CORNELL PARK DR, BLUE ASH, OH 45242-1814
(440) 591-0253
Mailing address
309 VINE ST APT 906, CINCINNATI, OH 45202-3654
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03445501
OH
Other
Enumeration date
10/15/2025
Last updated
10/15/2025
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