Provider Demographics
NPI:1689193815
Name:BURAND, AMANDA LYNN (PHARMD)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:LYNN
Last Name:BURAND
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 1:2127 GAMMON ST
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29414-8147
Mailing Address - Country:US
Mailing Address - Phone:262-510-7740
Mailing Address - Fax:
Practice Address - Street 1:2127 GAMMON ST
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29414-8147
Practice Address - Country:US
Practice Address - Phone:262-510-7740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-19
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH237688183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist