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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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