| Provider / Organization | NPI | Date Certified |
|---|---|---|
| AMANDA MCKANE | 1902586860 | 2024-05-12 |
Amanda Mckane is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1902586860. Registration indicates Amanda Mckane is a provider of services with a specialization in Pharmacy Service Providers, Pharmacist (Pharmacist, ) (Pharmacist, Pharmacy Service Providers) (Pharmacy Service Providers, Pharmacist) (Pharmacist, ) (Pharmacist, Pharmacy Service Providers)
| Entity Type | Individual |
| Provider Name | Amanda Mckane |
| Practice Office Address | 364 MAIN ST CONNEAUT, OH US |
| Practice Office Telephone | 4405936258 |
| Practice Office Fax | 4405936896 |
| Mailing Address | 364 MAIN ST CONNEAUT, OH 440302631 US |
| Business Telephone | 4405936258 |
| Code | Practice | License No State |
|---|---|---|
| 183500000X PRIMARY | Pharmacy Service Providers Pharmacist Pharmacist Pharmacist Pharmacy Service Providers | 03443282
OH |
| 183500000X | Pharmacy Service Providers Pharmacist Pharmacist Pharmacist Pharmacy Service Providers | RP457702
PA |