MEDICARE: DR. AMANDA FAYE PARSONS 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	16207	AL

General Provider Information

NPI Number	:	1952626152
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMANDA FAYE PARSONS PHARMD

Provider Business Mailing Address
First Line	:	12525 TEDDY DR
Second Line	:
City	:	MC CALLA
State	:	AL
Zip	:	35111-1509
Country	:	US
Telephone Number	:	205-477-3449
Fax Number	:

Provider Business Practice Location Address
First Line	:	28891 HIGHWAY 5
Second Line	:
City	:	WOODSTOCK
State	:	AL
Zip	:	35188-3614
Country	:	US
Telephone Number	:	205-938-9221
Fax Number	:	205-938-9290

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

Provider Enumeration Date	:	03/30/2010
Last Update Date	:	03/30/2010

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