Provider Demographics
NPI:1184739450
Name:LANDERS, AMY ELIZABETH (PHARMD)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:ELIZABETH
Last Name:LANDERS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:371 CHANNELSIDE WALKWAY UNIT 1102
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33602-6774
Mailing Address - Country:US
Mailing Address - Phone:813-767-5074
Mailing Address - Fax:813-979-3661
Practice Address - Street 1:371 CHANNELSIDE WALKWAY UNIT 1102
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33602-6774
Practice Address - Country:US
Practice Address - Phone:813-767-5074
Practice Address - Fax:813-979-3661
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2007-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14249183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist