Amanda Thompson | Winter Park, FL • PECOS Search

Amanda Thompson

Pharmacist

Pharmacy Service Providers

4000 N Goldenrod Rd, Winter Park, FL 32792-8999

PECOS Enrollment

Based on the most recent information from CMS, provider Amanda Thompson does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1801465117
Provider Type
Individual
Full Name
Thompson, Amanda
Gender
Female

Sole Proprietor
No
Enumeration Date
6/21/2021
Last Updated
6/21/2021

Contact Information

Practice Location

4000 N Goldenrod Rd, Winter Park, FL 32792-8999

Unlisted Fax

Mailing Location

1927 Carrigan Ave, Winter Park, FL 32792-1010

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 183500000X Primary	Description Pharmacist Pharmacy Service Providers	License PS62329 Florida