Provider Demographics
NPI:1750605937
Name:HINRICHER, AMANDA (RPH)
Entity type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:
Last Name:HINRICHER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 E 17TH ST
Mailing Address - Street 2:APT 1E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-3415
Mailing Address - Country:US
Mailing Address - Phone:901-355-9201
Mailing Address - Fax:
Practice Address - Street 1:1350 BROADWAY
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018-7702
Practice Address - Country:US
Practice Address - Phone:212-695-6346
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-17
Last Update Date:2010-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY054377183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist