Provider Demographics
NPI:1437388097
Name:MACARI, AMANDA LARAYNE (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:LARAYNE
Last Name:MACARI
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 1:33244 N 45TH PL
Mailing Address - Street 2:
Mailing Address - City:CAVE CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85331-5073
Mailing Address - Country:US
Mailing Address - Phone:480-575-6861
Mailing Address - Fax:
Practice Address - Street 1:4302 W BUCKEYE RD STE 109
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85043-4904
Practice Address - Country:US
Practice Address - Phone:800-781-3894
Practice Address - Fax:210-451-4765
Is Sole Proprietor?:No
Enumeration Date:2009-07-04
Last Update Date:2009-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS016602183500000X
MN117317183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist