Hardisty, Amanda Dawn

Hardisty, Amanda Dawn is an sole proprietor health care provider with primary practice located at 640 Highway 16 , Emmett ID 83617-9427. She recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as her primary health care specialty. Hardisty, Amanda Dawn can be contacted via phone (208) 365-4128.

Contact Information

Primary practice address
640 Highway 16 Emmett ID 83617-9427
Phone: (208) 365-4128
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X CPT-0005101 Oregon
Pharmacy Service Providers / Pharmacy Technician 183700000X CT1059 Idaho

Profile Details

NPI number 1437424512
LBN Legal business name Hardisty, Amanda Dawn
Credentials CPHT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 21st, 2012
Last updated Dec 30th, 2022 - about 2 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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