Provider Demographics
NPI:1174911705
Name:SCHACHTER, AMANDA JEAN (PHARMD)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:JEAN
Last Name:SCHACHTER
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 1:825 BEAVER GRADE RD
Mailing Address - Street 2:
Mailing Address - City:CORAOPOLIS
Mailing Address - State:PA
Mailing Address - Zip Code:15108-2639
Mailing Address - Country:US
Mailing Address - Phone:412-262-1570
Mailing Address - Fax:412-262-1935
Practice Address - Street 1:825 BEAVER GRADE RD
Practice Address - Street 2:
Practice Address - City:CORAOPOLIS
Practice Address - State:PA
Practice Address - Zip Code:15108-2639
Practice Address - Country:US
Practice Address - Phone:412-262-1570
Practice Address - Fax:412-262-1935
Is Sole Proprietor?:No
Enumeration Date:2015-01-05
Last Update Date:2015-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP449304183500000X
OHRPH.03132548-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist