Individual
AMANDA MOORE WALDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
310 N L ROGERS WELLS BLVD, GLASGOW, KY 42141-1300
(270) 659-5599
(270) 659-5598
Mailing address
310 N L ROGERS WELLS BLVD, GLASGOW, KY 42141-1300
(270) 659-5599
(270) 659-5598
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
016013
KY
Other
Enumeration date
07/09/2012
Last updated
07/29/2015
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