| NPI | 1053653055 |
|---|---|
| Other Name | TREY FOUTZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NM PC00000258) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NM RP000080041) |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2024-04-24 |