Sample, Amanda
Sample, Amanda is an sole proprietor health care provider with primary practice located at 10580 W Ustick Rd Store #5184, Boise ID 83704-5267. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Sample, Amanda can be contacted via phone (208) 377-3581.Contact Information
Primary practice address
10580 W Ustick Rd Store #5184
Boise ID 83704-5267
Phone: (208) 377-3581
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | P7083 | Idaho |
| Pharmacy Service Providers / Pharmacist | 183500000X | CS36244 | Idaho |
| Pharmacy Service Providers / Pharmacist | 183500000X | I059211-1 | New York |
Profile Details
| NPI number | 1891195137 |
|---|---|
| LBN Legal business name | Sample, Amanda |
| Credentials | PHARM.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 22nd, 2014 |
| Last updated | Aug 22nd, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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