Provider Demographics
NPI:1033668884
Name:RHODES, AMANDA Q (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:Q
Last Name:RHODES
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 1:111 HULST DR
Mailing Address - Street 2:
Mailing Address - City:MATAMORAS
Mailing Address - State:PA
Mailing Address - Zip Code:18336-2115
Mailing Address - Country:US
Mailing Address - Phone:570-491-5019
Mailing Address - Fax:847-396-2739
Practice Address - Street 1:111 HULST DR
Practice Address - Street 2:
Practice Address - City:MATAMORAS
Practice Address - State:PA
Practice Address - Zip Code:18336-2115
Practice Address - Country:US
Practice Address - Phone:570-491-5019
Practice Address - Fax:847-396-2739
Is Sole Proprietor?:No
Enumeration Date:2016-09-21
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP450935183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist