Provider Demographics
NPI:1982993556
Name:HUNT, AMANDA KATE (PHARMD)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:KATE
Last Name:HUNT
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 1:5113 S 98TH PLZ APT 12
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68127-2229
Mailing Address - Country:US
Mailing Address - Phone:402-359-3065
Mailing Address - Fax:
Practice Address - Street 1:5113 S 98TH PLZ APT 12
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68127-2229
Practice Address - Country:US
Practice Address - Phone:402-359-3065
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-04
Last Update Date:2011-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE12695183500000X
OR0011987183500000X
VA0202208970183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist