Amanda D Hamby, CPHT

Individual provider Active NPI Pharmacy Technician · Gray, TN

NPI 1851476154 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1851476154
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacy Technician 183700000X
License
250100103031389 (TN)
Practice address
208 Suncrest St
Gray, TN 37615-3494
Phone
(423) 477-3847
NPI assigned
Oct 26, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
250100103031389TNMDPharmacy Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 250100103031389 TN Yes

Addresses

Primary practice location

208 Suncrest St
Gray, TN 37615-3494

Mailing address

1001 Hairetown Rd
Jonesborough, TN 37659-4619
Phone (423) 753-0715

Other providers in Gray, TN

All providers in Gray, TN · Pharmacy Technician in Tennessee

Sources for this page

Verify at the official NPI Registry.