AMANDA DAWN HARDISTY

EMMETT, ID
NPI1437424512
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183700000X Pharmacy Technician
(Licence: ID  CT1059)
Additional Taxonomies183700000X Pharmacy Technician
(Licence: OR  CPT-0005101)
Enumeration Date2012-03-21
Last Update Date2022-12-30
Business Address
Mrs. AMANDA DAWN HARDISTY CPhT
640 HIGHWAY 16
EMMETT, ID 83617-9427
Phone number: 208-365-4128
Mailing Address
Mrs. AMANDA DAWN HARDISTY CPhT
179 W HIGHWAY 52
EMMETT, ID 83617-9738
Phone number: 208-272-9454