Individual
MS. AMANDA LEIGH HEEREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
800 HOSPITAL DR, COLUMBIA, MO 65201-5275
(573) 814-3538
(573) 814-6535
Mailing address
5510 VOLUNTEER DR, COLUMBIA, MO 65201-2843
(573) 355-4117
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2005031098
MO
Other
Enumeration date
04/26/2006
Last updated
07/17/2007
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