Provider Demographics
NPI:1699893685
Name:DODDS, AMBER LYNNE (PHARM D)
Entity type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:LYNNE
Last Name:DODDS
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 1:903 WOODBINE DR
Mailing Address - Street 2:
Mailing Address - City:GRIMES
Mailing Address - State:IA
Mailing Address - Zip Code:50111-1194
Mailing Address - Country:US
Mailing Address - Phone:515-491-7127
Mailing Address - Fax:
Practice Address - Street 1:819 GRAND AVE
Practice Address - Street 2:
Practice Address - City:SPENCER
Practice Address - State:IA
Practice Address - Zip Code:51301-3640
Practice Address - Country:US
Practice Address - Phone:712-262-5611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA20391183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist