NPI | 1073978482 |
---|---|
Former Name | SAN SOUVANNALEUTH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: CA 73504) |
Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60565451) |
183500000X Pharmacist (Licence: TX 57996) | |
1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OR RPH0015000) | |
183500000X Pharmacist (Licence: NV 19179) | |
Enumeration Date | 2015-12-30 |
Last Update Date | 2023-06-09 |