Individual
AMANDA THORNDYKE BAXLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
4459 TARHEEL DR, PINK HILL, NC 28572-9649
(866) 568-9945
Mailing address
4459 TARHEEL DR, PINK HILL, NC 28572-9649
(252) 568-9945
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14488
NC
Other
Enumeration date
03/11/2022
Last updated
03/11/2022
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