Individual
MRS. AMANDA CAROLINE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5407 ANDREWS HWY, MIDLAND, TX 79706-3615
(432) 699-2331
(432) 699-8283
Mailing address
7411 HORTON RANCH RD, ODESSA, TX 79765-2453
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
04/04/2021
Last updated
04/04/2021
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