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NPI Code Detail

MEDICARE: AMANDA LITTLE

MEDICARE: AMANDA LITTLE
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
1183500000XPharmacistS023285AZ

General Provider Information

NPI Number : 1528598125
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA LITTLE
Provider Business Mailing Address
First Line : 1060 E RAY RD
Second Line :
City : CHANDLER
State : AZ
Zip : 85225-1542
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4005 E CHANDLER BLVD
Second Line :
City : PHOENIX
State : AZ
Zip : 85048-8888
Country : US
Telephone Number : 480-759-4479
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2017
Last Update Date : 11/05/2022

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Directions to “ AMANDA LITTLE ” Practice Location

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