Provider Demographics
NPI:1043527294
Name:SAVAGE, AMANDA CLEMMONS (PHARMD)
Entity type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:CLEMMONS
Last Name:SAVAGE
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 1:366 RUSS AVE
Mailing Address - Street 2:KIM'S PHARMACY
Mailing Address - City:WAYNESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28786
Mailing Address - Country:US
Mailing Address - Phone:828-452-2313
Mailing Address - Fax:828-452-5451
Practice Address - Street 1:366 RUSS AVE
Practice Address - Street 2:KIM'S PHARMACY
Practice Address - City:WAYNESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28786
Practice Address - Country:US
Practice Address - Phone:828-452-2313
Practice Address - Fax:828-452-5451
Is Sole Proprietor?:No
Enumeration Date:2010-09-09
Last Update Date:2010-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC16802183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist