Individual provider · Type 1 NPI
Andrya Marie Mammen, R PH
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Jbsa Lackland, TX
Practice location
1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 78236-5638
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist | 183500000X | 35747 (TX) |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 35747 (TX) |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Primary | 1835P0018X | N16493 (IA) |
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist: Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
342 other providers at this address
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Other pharmacist clinician (phc)/ clinical pharmacy specialist providers in Jbsa Lackland
- Juby Oommen Thuruthumaly, PHARMACISTPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Jbsa Lackland, TX NPI 1083958144
- Rodney M. Jorstad, PharmDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Jbsa Lackland, TX NPI 1528020369
- Brandon Martin Garza, PharmDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Jbsa Lackland, TX NPI 1538829155
About NPI 1710201488
Andrya Marie Mammen, R PH's National Provider Identifier is 1710201488, issued on Mar 24, 2010. The primary taxonomy on file is Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (1835P0018X), and the practice location is in Jbsa Lackland, TX. The record was last updated on Feb 11, 2026.