Amanda Thornton

NPI 1366810608 · on the registry since 2015 · sole proprietor

Practice

Address: 303 N Hood St
Lake Providence, LA 71254
Phone: (318) 559-2433
Fax: (318) 559-2437
Organisation at this address: Minsky-Salemi Inc
Fred'S Pharmacy #3958
Freds Stores Of Tennessee Inc.
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 183500000X
183500000X
Licence states on file: LA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2015-09-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana