Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDRYA MARIE MAMMEN, R PH
Active Sole ProprietorANDRYA MARIE MAMMEN, R PH is a Pharmacist Clinician (PhC) healthcare provider located in JBSA LACKLAND, Texas. NPI 1710201488 is currently active in the NPPES registry. Verify at CMS.
Pharmacist Clinician (PhC) · JBSA LACKLAND, TX
Registration Details
- NPI Number
- 1710201488
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 24, 2010 (16.395764338779 yrs)
- Last Updated
- Feb 11, 2026
- Licenses
-
35747 (TX)35747 (TX)N16493 (IA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1100 WILFORD HALL LOOP BLDG 4554JBSA LACKLAND, TX, 782365638Browse TX providers · Browse ZIP 78236
- Phone
- 2102927384
- Primary Specialty
-
Pharmacist Clinician (PhC)
1835P0018X
- Additional Specialty
- Pharmacist Clinician (PhC)
- Additional Specialty
- Pharmacist Clinician (PhC)
Other Pharmacist Clinician (PhC) Providers in JBSA LACKLAND, TX
| Name | Credential | NPI |
|---|---|---|
| DR. RODNEY M JORSTAD | PHARMD | 1528020369 |
| JUBY OOMMEN THURUTHUMALY | PHARMACIST | 1083958144 |
| DR. BRANDON MARTIN GARZA | PHARMD | 1538829155 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.