NPI | 1114284866 |
---|---|
Former Name | MEGHAN E GEHRETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: MT 15067) |
Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60162002) |
183500000X Pharmacist (Licence: WI 1607840) | |
Enumeration Date | 2012-04-19 |
Last Update Date | 2013-11-14 |