Provider Demographics
NPI:1376211680
Name:DREES, AMANDA BAILEY (PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:BAILEY
Last Name:DREES
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:636 HARMONY CIR
Mailing Address - Street 2:
Mailing Address - City:WAYZATA
Mailing Address - State:MN
Mailing Address - Zip Code:55391-1106
Mailing Address - Country:US
Mailing Address - Phone:701-200-6558
Mailing Address - Fax:
Practice Address - Street 1:4005 VINEWOOD LN N
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MN
Practice Address - Zip Code:55442-1734
Practice Address - Country:US
Practice Address - Phone:763-553-9731
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-01
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN125376183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist