Provider Demographics
NPI:1992066393
Name:FRIZZELL, AMY B (RPH)
Entity type:Individual
Prefix:MS
First Name:AMY
Middle Name:B
Last Name:FRIZZELL
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 E RIDGEVILLE BLVD
Mailing Address - Street 2:
Mailing Address - City:MOUNT AIRY
Mailing Address - State:MD
Mailing Address - Zip Code:21771-5217
Mailing Address - Country:US
Mailing Address - Phone:301-829-2920
Mailing Address - Fax:301-829-8402
Practice Address - Street 1:415 EAST RIDGEVILLE BLVD
Practice Address - Street 2:
Practice Address - City:MT. AIRY
Practice Address - State:MD
Practice Address - Zip Code:21771
Practice Address - Country:US
Practice Address - Phone:301-829-2920
Practice Address - Fax:301-829-8402
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-01
Last Update Date:2012-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD11467183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist