NPI | 1134443385 |
---|---|
Other Name | GWENDOLYN COLEMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: MS E-7907) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NY 051923-1) |
Enumeration Date | 2010-03-17 |
Last Update Date | 2019-01-22 |