| NPI | 1154555969 |
|---|---|
| Former Name | TERRY LYNN CARLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183700000X Pharmacy Technician (Licence: MN 701501) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: MN 4901-0701-0036-329) |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2009-12-10 |