Individual
AMANDA LEE LAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
5136 REYNOSA DR, SAINT LOUIS, MO 63128-2735
(615) 944-3828
Mailing address
5136 REYNOSA DR, SAINT LOUIS, MO 63128-2735
(615) 944-3828
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2009025376
MO
Other
Enumeration date
02/08/2012
Last updated
02/08/2012
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