Individual
DR. AMANDA EASTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD RPH
Contact information
Practice address
1200 S COLUMBIA RD, GRAND FORKS, ND 58201-4036
(701) 780-3451
Mailing address
1200 S COLUMBIA RD, GRAND FORKS, ND 58201-4036
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5471
ND
183500000X
Pharmacist
RPH5174
ND
Other
Enumeration date
01/25/2011
Last updated
09/26/2022
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