Provider Demographics
NPI:1235422544
Name:STANKOWITZ, AMANDA M (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:M
Last Name:STANKOWITZ
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:777 HEMLOCK ST
Mailing Address - Street 2:MEDICAL CENTER OF CENTRAL GEORGIA MSC 154
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31201-2102
Mailing Address - Country:US
Mailing Address - Phone:478-633-7397
Mailing Address - Fax:478-633-2002
Practice Address - Street 1:777 HEMLOCK ST
Practice Address - Street 2:MEDICAL CENTER OF CENTRAL GEORGIA MSC 154
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31201-2102
Practice Address - Country:US
Practice Address - Phone:478-633-7397
Practice Address - Fax:478-633-2002
Is Sole Proprietor?:No
Enumeration Date:2011-05-19
Last Update Date:2011-05-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GARPH0221051835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist