Provider Demographics
NPI:1255843413
Name:DRYMALSKI, AMANDA (PHARMD)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:
Last Name:DRYMALSKI
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 1:911 E. ROLLINS ST. RM. 1207
Mailing Address - Street 2:MIZZOU PHARMACY
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65201
Mailing Address - Country:US
Mailing Address - Phone:573-884-4373
Mailing Address - Fax:573-882-4843
Practice Address - Street 1:911 E. ROLLINS ST. RM. 1207
Practice Address - Street 2:MIZZOU PHARMACY
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65201-5738
Practice Address - Country:US
Practice Address - Phone:573-884-4373
Practice Address - Fax:573-882-4843
Is Sole Proprietor?:No
Enumeration Date:2017-10-27
Last Update Date:2017-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN116993183500000X
SD5646183500000X
MO2012033847183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist