Provider Demographics
NPI:1740882810
Name:PASTURA, AMY MARIE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:MARIE
Last Name:PASTURA
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 1:7625 DOERING DR
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:KY
Mailing Address - Zip Code:41042-4211
Mailing Address - Country:US
Mailing Address - Phone:859-282-8833
Mailing Address - Fax:859-282-9459
Practice Address - Street 1:7625 DOERING DR
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-4211
Practice Address - Country:US
Practice Address - Phone:859-282-8833
Practice Address - Fax:859-282-9459
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-12
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY013486183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist