Provider Demographics
NPI:1336752815
Name:FELTMAN, ANSLEY AMANDA (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:ANSLEY
Middle Name:AMANDA
Last Name:FELTMAN
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 1:4345 GLEN ESTE WITHAMSVILLE RD APT 408
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45245-1891
Mailing Address - Country:US
Mailing Address - Phone:502-548-2972
Mailing Address - Fax:
Practice Address - Street 1:898 S MAIN ST
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:45458-3439
Practice Address - Country:US
Practice Address - Phone:937-433-4909
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-25
Last Update Date:2020-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY019988183500000X
OH03440033183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist