| NPI | 1053547422 |
|---|---|
| Former Name | MELISSA SUE KEETON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 33539) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 14899) |
| 183500000X Pharmacist (Licence: MS 10475) | |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2009-05-29 |