NPI | 1184939530 |
---|---|
Former Name | KENDRA FAYE GINGERICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: MT PHA-PHA-LIC-6273) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MT 6273) |
Enumeration Date | 2010-08-10 |
Last Update Date | 2014-10-23 |