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Individual

AMANDA HAYNES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM D

Contact information

Practice address
2306 RANCH ROAD 620 S, LAKEWAY, TX 78734-6269
(512) 263-6000
Mailing address
2201 CRAZYHORSE PASS, AUSTIN, TX 78734-2805

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
2007028060
MO
183500000X
Pharmacist
Primary
63988
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
149642
NABP
Enumeration date
03/12/2022
Last updated
03/12/2022
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