Individual
MISS AMANDA L CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD.
Contact information
Practice address
1111 E MCDOWELL RD, PHOENIX, AZ 85006-2612
(602) 839-4555
Mailing address
1601 E HIGHLAND AVE, APT 1168, PHOENIX, AZ 85016-4680
(620) 704-0012
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18307
AZ
Other
Enumeration date
02/03/2012
Last updated
02/03/2012
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