Provider Demographics
NPI:1649564543
Name:YANEK, AMANDA (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:
Last Name:YANEK
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:DR
Other - First Name:AMANDA
Other - Middle Name:
Other - Last Name:HEWITSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4574 EUCLID BLVD
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-1672
Mailing Address - Country:US
Mailing Address - Phone:330-509-3099
Mailing Address - Fax:
Practice Address - Street 1:16280 DRESDEN AVE STE A
Practice Address - Street 2:
Practice Address - City:EAST LIVERPOOL
Practice Address - State:OH
Practice Address - Zip Code:43920-9025
Practice Address - Country:US
Practice Address - Phone:330-386-4002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-08
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03129698183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist