Rudder, Amanda

Rudder, Amanda is an individual health care provider with primary practice located at 1511 Christy Dr , Jefferson City MO 65101-2854. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Rudder, Amanda can be contacted via phone (573) 606-6924.

Contact Information

Primary practice address
1511 Christy Dr Jefferson City MO 65101-2854
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 2009020976 Missouri

Profile Details

NPI number 1073896197
LBN Legal business name Rudder, Amanda
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2011
Last updated Feb 5th, 2024 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1073896197 NPPES
Missouri Other 2009020976 PHARMACIST LICENSE NUMBER

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