Individual
DR. AMANDA R HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
16700 N MARKETPLACE BLVD, NAMPA, ID 83687-7909
(208) 465-3809
(208) 465-3806
Mailing address
1171 W PENELOPE ST, KUNA, ID 83634-2366
(208) 922-2008
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
3403
WY
183500000X
Pharmacist
6940
MT
183500000X
Pharmacist
Primary
P6163
ID
183500000X
Pharmacist
PHA0019658
CO
Other
Enumeration date
03/30/2012
Last updated
01/03/2020
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