Individual
AMANDA MACHALLE COLWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
33-57 HARRISON ST, JOHNSON CITY, NY 13790-2107
(607) 763-6000
Mailing address
33-57 HARRISON ST, JOHNSON CITY, NY 13790-2107
(607) 763-6000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0007994
WV
183500000X
Pharmacist
Primary
0202211677
VA
Other
Enumeration date
12/07/2012
Last updated
07/20/2026
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