Healthcare Provider Details

I. General information

NPI: 1447172127
Provider Name (Legal Business Name): AMANDA HURST PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 S SNOW MASS AVE
SIOUX FALLS SD
57110-3719
US

IV. Provider business mailing address

2700 S SNOW MASS AVE
SIOUX FALLS SD
57110-3719
US

V. Phone/Fax

Practice location:
  • Phone: 507-829-8366
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0200X
TaxonomyPediatric Pharmacist
License NumberR.6748
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: