Provider Demographics
NPI:1588792923
Name:RICHARDSON, AMANDA HOPE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:HOPE
Last Name:RICHARDSON
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 1:204 FINNEY RD
Mailing Address - Street 2:
Mailing Address - City:HONAKER
Mailing Address - State:VA
Mailing Address - Zip Code:24260
Mailing Address - Country:US
Mailing Address - Phone:276-873-4268
Mailing Address - Fax:
Practice Address - Street 1:1135 CLAYPOOL HILL MALL RD
Practice Address - Street 2:
Practice Address - City:CEDAR BLUFF
Practice Address - State:VA
Practice Address - Zip Code:24609-7013
Practice Address - Country:US
Practice Address - Phone:276-964-5748
Practice Address - Fax:276-963-9325
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202207464183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist