Provider Demographics
NPI:1881001907
Name:SCHNEIDER, AMANDA (PHARM D)
Entity Type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:
Last Name:SCHNEIDER
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 1:14809 NW 7TH PL
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98685-5763
Mailing Address - Country:US
Mailing Address - Phone:406-240-9328
Mailing Address - Fax:
Practice Address - Street 1:3715 OCEAN BEACH HWY
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:WA
Practice Address - Zip Code:98632-4801
Practice Address - Country:US
Practice Address - Phone:360-355-3082
Practice Address - Fax:360-355-3017
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-21
Last Update Date:2014-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH603904051835P1200X
MTPHA-PHA-LIC-239591835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy