Provider Demographics
NPI:1063710101
Name:DOWNS, AMBER NICOLE DASHER (PHARMD)
Entity type:Individual
Prefix:DR
First Name:AMBER NICOLE
Middle Name:DASHER
Last Name:DOWNS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402 S VETERANS BLVD
Mailing Address - Street 2:
Mailing Address - City:GLENNVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30427-1772
Mailing Address - Country:US
Mailing Address - Phone:912-654-9647
Mailing Address - Fax:912-654-1841
Practice Address - Street 1:402 S VETERANS BLVD
Practice Address - Street 2:
Practice Address - City:GLENNVILLE
Practice Address - State:GA
Practice Address - Zip Code:30427-1772
Practice Address - Country:US
Practice Address - Phone:912-654-9647
Practice Address - Fax:912-654-1841
Is Sole Proprietor?:No
Enumeration Date:2011-03-13
Last Update Date:2011-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH023783183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist