| NPI | 1114205291 |
|---|---|
| Former Name | AMY CORDNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03107500) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 19534) |
| Enumeration Date | 2011-07-24 |
| Last Update Date | 2011-07-24 |