Doctor Name: | MS. AMANDA DAWN FLORES |
NPI Number: | 1437424512 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CPHT |
License Number: | CPT-0005101 |
Business Practice Address: | 179 W Highway 52 Emmett, ID - 836179738 |
Business Phone Number: | 2082729454 |
Business Fax Number: | 2082729460 |
Mailing Address: | 179 W Highway 52, EMMETT |
State: | ID |
Postal Code: | 836179738 |
Phone Number: | 2082729454 |
Fax Number: | 2082729460 |
NPI Enumeration Date: | 03/21/2012 |
NPI Last Update Date: | 03/28/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 183700000X |
License Number: | CPT-0005101 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OR |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacy Technician |
Taxonomy Specialization: | |
Taxonomy Definition: | A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |