Provider Demographics
NPI:1659054393
Name:AMANN, TWYLA (PHARM D)
Entity Type:Individual
Prefix:
First Name:TWYLA
Middle Name:
Last Name:AMANN
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 1:955 FRONTENAC DR
Mailing Address - Street 2:
Mailing Address - City:WINONA
Mailing Address - State:MN
Mailing Address - Zip Code:55987-6522
Mailing Address - Country:US
Mailing Address - Phone:507-452-0615
Mailing Address - Fax:507-452-0617
Practice Address - Street 1:955 FRONTENAC DR
Practice Address - Street 2:
Practice Address - City:WINONA
Practice Address - State:MN
Practice Address - Zip Code:55987-6522
Practice Address - Country:US
Practice Address - Phone:507-452-0615
Practice Address - Fax:507-452-0617
Is Sole Proprietor?:No
Enumeration Date:2023-08-09
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN121562183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist