Amanda C. Broedell

Pharmacist · El Centro, CA

Individual Active NPI

NPI number 1821620212

Practice location

1745 S Imperial Ave
El Centro, CA 92243-4243
Phone
(760) 353-5130

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NPI record

NPI
1821620212
Entity type
Individual (Type 1)
Enumeration date
February 4, 2020
Last updated
February 4, 2020
Certified
February 4, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 77148 CA

Mailing address

10860 SE Seminole Rd
Tequesta, FL 33469-8101
Phone
(561) 307-4909

About Amanda Broedell

Amanda C. Broedell is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 1745 S Imperial Ave, El Centro, CA 92243-4243. The NPI number 1821620212 was assigned on February 4, 2020 and the record was last updated on February 4, 2020.

Amanda Broedell lists a license in the registry: #77148 (CA) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Amanda C. Broedell?

The NPI number is 1821620212.

What is the phone number of Amanda Broedell?

The phone number listed for the practice location is (760) 353-5130.

Where is Amanda Broedell located?

1745 S Imperial Ave, El Centro, CA 92243-4243.

What is the taxonomy code for Amanda Broedell?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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