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NPI Code Detail

MEDICARE: DR. AMANDA ANDERSON PHARMD

MEDICARE: DR. AMANDA ANDERSON 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
1183500000XPharmacist03129294OH

General Provider Information

NPI Number : 1205376423
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMANDA ANDERSON PHARMD
Provider Business Mailing Address
First Line : 8333 ROCKSIDE RD
Second Line :
City : CLEVELAND
State : OH
Zip : 44125-6134
Country : US
Telephone Number : 216-369-2200
Fax Number : 216-369-2201
Provider Business Practice Location Address
First Line : 8333 ROCKSIDE RD
Second Line :
City : CLEVELAND
State : OH
Zip : 44125-6134
Country : US
Telephone Number : 216-369-2200
Fax Number : 216-369-2201
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2017
Last Update Date : 03/07/2017

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