NPI | 1114277852 |
---|---|
Former Name | SEKINAH SAMADI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: ID P8337) |
Additional Taxonomies | 183500000X Pharmacist (Licence: WA IR60225984) |
183500000X Pharmacist (Licence: ID E18570) | |
Enumeration Date | 2012-09-10 |
Last Update Date | 2020-05-18 |