Provider Demographics
NPI:1043595028
Name:SCHNEIDER, AMANDA L (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:L
Last Name:SCHNEIDER
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 1:4170 W POWERLINE RD
Mailing Address - Street 2:
Mailing Address - City:AYR
Mailing Address - State:NE
Mailing Address - Zip Code:68925-2637
Mailing Address - Country:US
Mailing Address - Phone:402-740-7319
Mailing Address - Fax:
Practice Address - Street 1:4170 W POWERLINE RD
Practice Address - Street 2:
Practice Address - City:AYR
Practice Address - State:NE
Practice Address - Zip Code:68925-2637
Practice Address - Country:US
Practice Address - Phone:402-740-7319
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-20
Last Update Date:2011-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE13622183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist