Provider Demographics
NPI:1427332113
Name:HUFF, AMANDA N (PHARM D)
Entity type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:N
Last Name:HUFF
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:860 ARNOLD COMMONS DR
Mailing Address - Street 2:
Mailing Address - City:ARNOLD
Mailing Address - State:MO
Mailing Address - Zip Code:63010-2164
Mailing Address - Country:US
Mailing Address - Phone:636-282-4817
Mailing Address - Fax:
Practice Address - Street 1:860 ARNOLD COMMONS DR
Practice Address - Street 2:
Practice Address - City:ARNOLD
Practice Address - State:MO
Practice Address - Zip Code:63010-2164
Practice Address - Country:US
Practice Address - Phone:636-282-4817
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-29
Last Update Date:2013-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2011024497183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist