| NPI | 1053694570 |
|---|---|
| Former Name | LISA PELLETIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: AZ S024120) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA 25608) |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OR RPH-0012826) | |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2022-10-26 |