Provider Demographics
NPI:1972889087
Name:OWENS, AMANDA K (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:K
Last Name:OWENS
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 1:1965 S FREMONT AVE STE 140
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65804-2216
Mailing Address - Country:US
Mailing Address - Phone:417-820-3577
Mailing Address - Fax:417-820-3578
Practice Address - Street 1:1965 S FREMONT AVE STE 140
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-2216
Practice Address - Country:US
Practice Address - Phone:417-820-3577
Practice Address - Fax:417-820-3578
Is Sole Proprietor?:No
Enumeration Date:2011-11-02
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2008020972183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist