Individual provider · Type 1 NPI

Andrya Marie Mammen, R PH

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Jbsa Lackland, TX

NPI number 1710201488 Active

Practice location

1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 78236-5638

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000X35747 (TX)
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X35747 (TX)
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Primary 1835P0018XN16493 (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.

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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.