| NPI | 1164601639 |
|---|---|
| Former Name | MICHELE LEE CARROLL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: FL PS42312) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL ps42312) |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2022-12-19 |