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Individual

AMY ELIZABETH BIXLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1200 LAKE HEARN DR NE STE 425, BROOKHAVEN, GA 30319-6419
(757) 450-0161
Mailing address
1200 LAKE HEARN DR NE STE 425, BROOKHAVEN, GA 30319-6419
(757) 450-0161
(757) 450-0161

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202206795
VA
183500000X
Pharmacist
Primary
14699
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14699
PHARMACIST
NV
Enumeration date
01/14/2018
Last updated
01/14/2018
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