Individual
AMANDA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2419 THOMAS DR, PANAMA CITY BEACH, FL 32408-5808
(850) 236-4420
Mailing address
2419 THOMAS DR, PANAMA CITY BEACH, FL 32408-5808
(850) 236-4420
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS34468
FL
Other
Enumeration date
01/21/2013
Last updated
01/21/2013
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