IndividualActive
Amanda Otten, PHARMD
NPI 1124703400 · Pharmacy Technician · Fox Lake, IL
Provider details
- NPI number
- 1124703400
- Entity type
- Individual
- Primary specialty
- Pharmacy TechnicianPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Pharmacy Service Providers
Practice location
1350 S US Highway 12
Fox Lake, IL 60020-1930
Phone: (847) 587-4206
Approximate (ZIP-level) locationGet directions
Mailing address
21192 W Yorkshire Dr
Kildeer, IL 60047-7927
Registry dates
- Enumerated
- 2023-06-15
- Last updated
- 2023-06-15
- Certified
- 2023-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.