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NPI Code Detail

MEDICARE: AMANDA HESS

MEDICARE:   AMANDA  HESS
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
1183500000XPharmacist0202212995VA

General Provider Information

NPI Number : 1578969507
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA HESS
Provider Business Mailing Address
First Line : 74 VANDYKE CIR
Second Line :
City : SWORDS CREEK
State : VA
Zip : 24649-7453
Country : US
Telephone Number : 276-971-6710
Fax Number :
Provider Business Practice Location Address
First Line : 527 31ST ST
Second Line :
City : HUNTINGTON
State : WV
Zip : 25702-1716
Country : US
Telephone Number : 304-525-1894
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2014
Last Update Date : 11/19/2014

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Directions to “ AMANDA HESS ” Practice Location

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