Wilson, Amanda Faye
Wilson, Amanda Faye is an individual health care provider with primary practice located at 101 W Daugherty St , Webb City MO 64870-1924. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Diabetes Educator, Pharmacy Service Providers / Pharmacist. Pharmacy Service Providers / Pharmacist is her primary health care specialty. Wilson, Amanda Faye can be contacted via phone (417) 673-4664.Contact Information
Primary practice address
101 W Daugherty St
Webb City MO 64870-1924
Phone: (417) 673-4664
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Diabetes Educator | 163WD0400X | 2015020496 | Missouri |
Pharmacy Service Providers / Pharmacist | 183500000X | PD12755 | Arkansas |
Pharmacy Service Providers / Pharmacist | 183500000X | 2015020496 | Missouri |
Profile Details
NPI number | 1033524822 |
---|---|
LBN Legal business name | Wilson, Amanda Faye |
Credentials | PHARM.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 30th, 2014 |
Last updated | Jul 9th, 2019 - about 5 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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