Provider Demographics
NPI:1558585943
Name:FRANCIS, AMANDA BETH (PHARMD)
Entity type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:BETH
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:AMANDA
Other - Middle Name:BETH
Other - Last Name:UPCHURCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1489 MOUNT JEFFERSON RD
Mailing Address - Street 2:
Mailing Address - City:WEST JEFFERSON
Mailing Address - State:NC
Mailing Address - Zip Code:28694-8336
Mailing Address - Country:US
Mailing Address - Phone:363-246-3119
Mailing Address - Fax:336-246-3719
Practice Address - Street 1:1489 MOUNT JEFFERSON RD
Practice Address - Street 2:
Practice Address - City:WEST JEFFERSON
Practice Address - State:NC
Practice Address - Zip Code:28694-8336
Practice Address - Country:US
Practice Address - Phone:336-246-3119
Practice Address - Fax:336-246-3719
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2024-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC15856183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist