| NPI | 1114100054 |
|---|---|
| Former Name | JACQUELINE ANN SZEWCZYK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 046405-1) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL ps 33293) |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2007-12-18 |