Healthcare Provider Details

I. General information

NPI: 1407980469
Provider Name (Legal Business Name): AMANDA PLETCHER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 06/23/2024
Certification Date: 06/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3630 US 41 W
MARQUETTE MI
49855-9499
US

IV. Provider business mailing address

154 PINEVIEW DR
MARQUETTE MI
49855-8610
US

V. Phone/Fax

Practice location:
  • Phone: 906-662-6310
  • Fax: 906-662-6365
Mailing address:
  • Phone: 906-250-4508
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302033597
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: