IndividualActive
Amanda Hurtt, RPH
NPI 1891395448 · Pharmacist · Waterloo, IL
Provider details
- NPI number
- 1891395448
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- RPH
- Sex
- Female
- Sole proprietor
- Yes
- License
- 051.290045 (IL)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
961 N Market St Stop 1
Waterloo, IL 62298-1061
Phone: (618) 939-4088
Fax: (618) 939-3419
Approximate (ZIP-level) locationGet directions
Mailing address
7024 Fountain Oak Ln
Waterloo, IL 62298-5235
Registry dates
- Enumerated
- 2020-10-31
- Last updated
- 2020-10-31
- Certified
- 2020-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.