NPI | 1124373881 |
---|---|
Former Name | ROBYN LYNN PARDUN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH00065069) |
Additional Taxonomies | 183500000X Pharmacist (Licence: ID P6038) |
183500000X Pharmacist (Licence: CA 61022) | |
Enumeration Date | 2012-07-18 |
Last Update Date | 2015-11-13 |