Individual
AMANDA FABER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
80 ACOMA BLVD N, LAKE HAVASU CITY, AZ 86403-6932
(928) 680-4449
Mailing address
3908 N HILLINGTON LN, LAKE HAVASU CITY, AZ 86404-8724
(909) 731-8090
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S022958
AZ
Other
Enumeration date
09/25/2017
Last updated
09/25/2017
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