Provider Demographics
NPI:1760539191
Name:PRICE, AMORET EILAND (PHARMACIST)
Entity Type:Individual
Prefix:MRS
First Name:AMORET
Middle Name:EILAND
Last Name:PRICE
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 S EUFAULA AVE
Mailing Address - Street 2:
Mailing Address - City:EUFAULA
Mailing Address - State:AL
Mailing Address - Zip Code:36027-2026
Mailing Address - Country:US
Mailing Address - Phone:334-687-7144
Mailing Address - Fax:334-687-6012
Practice Address - Street 1:130 S EUFAULA AVE
Practice Address - Street 2:
Practice Address - City:EUFAULA
Practice Address - State:AL
Practice Address - Zip Code:36027-2026
Practice Address - Country:US
Practice Address - Phone:334-687-7144
Practice Address - Fax:334-687-6012
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2011-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL9521183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist