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NPI Code Detail

MEDICARE: AMANDA HAFER PHARMD

MEDICARE: AMANDA HAFER 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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistRP449587PA
2183500000XPharmacistRP449587PA

General Provider Information

NPI Number : 1841664745
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA HAFER PHARMD
Provider Business Mailing Address
First Line : 33 N BINGAMAN ST
Second Line :
City : READING
State : PA
Zip : 19606-1440
Country : US
Telephone Number : 610-451-3757
Fax Number :
Provider Business Practice Location Address
First Line : 1110 ROCKLAND ST
Second Line :
City : READING
State : PA
Zip : 19604-1501
Country : US
Telephone Number : 610-988-4838
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2015
Last Update Date : 05/20/2024

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