Individual
AMANDA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2910 GRANT LINE RD, NEW ALBANY, IN 47150-2456
(812) 944-1214
Mailing address
2910 GRANT LINE RD, NEW ALBANY, IN 47150-2456
(812) 944-1214
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
016216
KY
183500000X
Pharmacist
03232129
OH
183500000X
Pharmacist
Primary
26024807A
IN
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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