Provider Demographics
NPI:1609364611
Name:CHESTER, AMANDA BROOKE (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:BROOKE
Last Name:CHESTER
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 1:8121 AINSWORTH DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37909-2202
Mailing Address - Country:US
Mailing Address - Phone:865-300-6487
Mailing Address - Fax:
Practice Address - Street 1:8445 WALBROOK DR
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-3115
Practice Address - Country:US
Practice Address - Phone:865-690-8986
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-25
Last Update Date:2018-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN33037183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist