Amanda Khamsouthavong, PHARMD

NPI #1144018094 in The Dalles, Oregon

Provider Information

NPI Number: 1144018094
Entity Type: Individual
Name: Amanda Khamsouthavong, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Apr 29, 2025
Last Updated: May 5, 2025

Practice Location

Address: 1700 E 19TH ST
City: The Dalles
State: Oregon
ZIP Code: 97058-3317
Phone: (541) 296-7526

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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