Healthcare Provider Details

I. General information

NPI: 1952651283
Provider Name (Legal Business Name): AMANDA CARTER PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/13/2012
Last Update Date: 06/30/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1802 YAKIMA AVE STE 302
TACOMA WA
98405-5305
US

IV. Provider business mailing address

801 AUBURN WAY N
AUBURN WA
98002
US

V. Phone/Fax

Practice location:
  • Phone: 253-627-1244
  • Fax: 253-627-3520
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835C0206X
TaxonomyCardiology Pharmacist
License NumberPH60300101
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License NumberPH60300101
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberPH60300101
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: