Hartlage, Amanda

Hartlage, Amanda is an individual health care provider with primary practice located at 289 Ireland Ave , Fort Knox KY 40121-5111. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist is her primary health care specialty. Hartlage, Amanda can be contacted via phone (812) 624-0857.

Contact Information

Primary practice address
289 Ireland Ave Fort Knox KY 40121-5111
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 26025171A Indiana
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 26025171A Indiana

Profile Details

NPI number 1215358072
LBN Legal business name Hartlage, Amanda
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2013
Last updated Jun 13th, 2016 - about 8 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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