Healthcare Provider Details
I. General information
NPI: 1730373093
Provider Name (Legal Business Name): AMANDA HARRIS CORBETT PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/30/2007
Last Update Date: 08/30/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
101 MANNING DR UNC HEALTH CARE; DEPT OF PHARMACY
CHAPEL HILL NC
27514
US
IV. Provider business mailing address
SCHOOL OF PHARMACY; UNIVERSITY OF NORTH CAROLINA 3317 KERR HALL; CB# 7360
CHAPEL HILL NC
27599-0001
US
V. Phone/Fax
- Phone: 919-843-2280
- Fax: 919-962-0644
- Phone: 919-843-2280
- Fax: 919-962-0644
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1835P1200X |
| Taxonomy | Pharmacotherapy Pharmacist |
| License Number | 14881 |
| License Number State | NC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: