Individual provider · NPI-1

Amanda Douglas

Pharmacy Technician · Cockeysville, MD

NPI number1053701805
StatusActive
Last updated in NPPESJan 5, 2016

Details

NPI
1053701805
Entity type
Individual (NPI-1)
Name
Amanda Douglas
Sex
Female
Sole proprietor
No
Enumeration date
Feb 2, 2015
Last updated
Jan 5, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183700000X Pharmacy TechnicianT05626MDYes

Practice location

9901 York Rd
Cockeysville, MD 21030-3407

Phone 410-683-6517 · Fax 410-616-2170

Mailing address

9901 York Rd
Cockeysville, MD 21030-3407

Phone 410-683-6517

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