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NPI Code Detail

MEDICARE: DR. AMANDA HAMILTON PHARMD

MEDICARE: DR. AMANDA HAMILTON PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist61425TX

General Provider Information

NPI Number : 1568050888
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMANDA HAMILTON PHARMD
Provider Business Mailing Address
First Line : 6252 TRAIL LAKE DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76133-3406
Country : US
Telephone Number : 910-330-4613
Fax Number :
Provider Business Practice Location Address
First Line : 4400 W GREEN OAKS BLVD
Second Line :
City : ARLINGTON
State : TX
Zip : 76016-5608
Country : US
Telephone Number : 817-563-0142
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2021
Last Update Date : 01/03/2021

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