Provider Demographics
NPI:1518562446
Name:WORKMAN, AMANDA LEA (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:LEA
Last Name:WORKMAN
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 1:7217 CINCINNATI DAYTON RD
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-1547
Mailing Address - Country:US
Mailing Address - Phone:513-759-3301
Mailing Address - Fax:513-759-5752
Practice Address - Street 1:7217 CINCINNATI DAYTON RD
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-1547
Practice Address - Country:US
Practice Address - Phone:513-759-3301
Practice Address - Fax:513-759-5752
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03228516183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist