Provider Demographics
NPI:1124579305
Name:MAY, AMANDA KATHRYN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:KATHRYN
Last Name:MAY
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 1:2830 GATEWAY DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-0138
Mailing Address - Country:US
Mailing Address - Phone:252-917-6170
Mailing Address - Fax:
Practice Address - Street 1:2830 GATEWAY DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-0138
Practice Address - Country:US
Practice Address - Phone:252-917-6170
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-21
Last Update Date:2016-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC26421183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist