Individual
MRS. AMANDA HURTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
961 N MARKET ST STOP 1, WATERLOO, IL 62298-1061
(618) 939-4088
(618) 939-3419
Mailing address
7024 FOUNTAIN OAK LN, WATERLOO, IL 62298-5235
(618) 410-9919
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.290045
IL
Other
Enumeration date
10/31/2020
Last updated
10/31/2020
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