NPI 1003198318

Amanda Updegraff, PHARMD

Practitioner Pharmacist O Fallon, MO

Practice location

Address: 1490 Mexico Loop Rd E, O Fallon, MO 63366-6015
Phone: (636) 978-1602

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 2011024492 (MO)

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Registry record

NPI: 1003198318
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Sep 2011
Record last updated: 18 Dec 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.