Most Relevant Information
Provider Data
| NPI Number: | 1003405861 |
| Provider Name: | AMETHYST DIETHRICH CPHT |
| Entity Type: | Individual |
| Taxonomy Code: | 183700000X |
| Specialty: | Pharmacy Technician |
| License Number: | 268178 |
Most Important Dates
| Enumeration Date: | 01/14/2021 |
| Last Updated: | 01/14/2021 |
Provider Practice Location
1160 S BUSINESS IH 35
NEW BRAUNFELS
TX
781305715
Practice Location Phone/Fax
| Phone: | 8303876817 |
| Fax: |
Provider Mailing Location
1160 S BUSINESS IH 35
NEW BRAUNFELS
TX
781305715
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |