MEDICARE: DR. AMANDA SATCHER 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
1	183500000X	Pharmacist	21213	AL
2	183500000X	Pharmacist	E-16171	MS

General Provider Information

NPI Number	:	1700498276
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMANDA SATCHER PHARMD

Provider Business Mailing Address
First Line	:	4910 POPLAR SPRINGS DR
Second Line	:
City	:	MERIDIAN
State	:	MS
Zip	:	39305-1685
Country	:	US
Telephone Number	:	601-483-3997
Fax Number	:	601-483-9872

Provider Business Practice Location Address
First Line	:	4910 POPLAR SPRINGS DR
Second Line	:
City	:	MERIDIAN
State	:	MS
Zip	:	39305-1685
Country	:	US
Telephone Number	:	601-483-3997
Fax Number	:	601-483-9872

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2020
Last Update Date	:	08/17/2020

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Directions to “ DR. AMANDA SATCHER PHARMD” Practice Location

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