NPI | 1083216881 |
---|---|
Former Name | MARIA C TANGONAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: UT 10240933-1701) |
Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051.1297740) |
Enumeration Date | 2020-11-16 |
Last Update Date | 2020-11-16 |