National Provider Identifier
Amanda Jane Mietlicki, PHARMD
Amanda Jane Mietlicki, PHARMD is listed in the NPPES registry with a primary specialty of Pharmacist in Williamsville, NY and a listed phone number of (716) 635-5000.
Profile Overview
- NPI
- 1629830922
- Provider Type
- Individual
- Primary Specialty
- Pharmacist
- Enumeration Date
- January 23, 2024
- Last Updated
- January 23, 2024
Practice Location
- 6363 Main St
- Williamsville, NY 14221-5855
Phone: (716) 635-5000
Mailing Address
- 2482 Cider St
- Le Roy, NY 14482-9504
Specialties
- Pharmacist (183500000X)
Full Record
- NPI
- 1629830922
- Entity Type
- Individual
- Last Name
- Mietlicki
- First Name
- Amanda
- Middle Name
- Jane
- Credential
- PHARMD
- Mailing Street Address
- 2482 Cider St
- Mailing City
- Le Roy
- Mailing State
- NY
- Mailing ZIP Code
- 14482-9504
- Mailing Country
- US
- Mailing Phone
- (585) 991-3976
- Practice Street Address
- 6363 Main St
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-5855
- Practice Country
- US
- Practice Phone
- (716) 635-5000
- Enumeration Date
- January 23, 2024
- Last Updated
- January 23, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- November 24, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacist (183500000X)