Provider Demographics
NPI:1235761982
Name:SCHOLTES, AMANDA (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:
Last Name:SCHOLTES
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1005 ROLAND DR
Mailing Address - Street 2:
Mailing Address - City:PAPILLION
Mailing Address - State:NE
Mailing Address - Zip Code:68046-6166
Mailing Address - Country:US
Mailing Address - Phone:402-658-5476
Mailing Address - Fax:
Practice Address - Street 1:1005 ROLAND DR
Practice Address - Street 2:
Practice Address - City:PAPILLION
Practice Address - State:NE
Practice Address - Zip Code:68046-6166
Practice Address - Country:US
Practice Address - Phone:402-658-5476
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-11
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE12321183500000X, 2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
Yes183500000XPharmacy Service ProvidersPharmacist