Most Relevant Information
Provider Data
| NPI Number: | 1003233024 |
| Provider Name: | AMANDA P SAMPSON PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 53198 |
Most Important Dates
| Enumeration Date: | 03/27/2014 |
| Last Updated: | 03/27/2014 |
Provider Practice Location
1501 SAN PEDRO DR SE
ALBUQUERQUE
NM
871085153
Practice Location Phone/Fax
| Phone: | 5052651711 |
| Fax: |
Provider Mailing Location
6601 TENNYSON ST NE APT 12308
ALBUQUERQUE
NM
871118168
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |