Most Relevant Information
Provider Data
| NPI Number: | 1003199647 |
| Provider Name: | AMANDA NANNEY PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 051292183 |
Most Important Dates
| Enumeration Date: | 09/20/2011 |
| Last Updated: | 09/20/2011 |
Provider Practice Location
25 WOODLAND CT
HIGHLAND
IL
622495917
Practice Location Phone/Fax
| Phone: | 6186547125 |
| Fax: |
Provider Mailing Location
110 WALNUT ST
HIGHLAND
IL
622491222
Provider Mailing Phone/Fax
| Phone: | 6186511204 |
| Fax: |