NPI | 1215530134 |
---|---|
Former Name | VICTORIA REICHERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: UT 6077794-1701) |
Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202211583) |
183500000X Pharmacist (Licence: ID P9853) | |
Enumeration Date | 2020-11-21 |
Last Update Date | 2022-01-14 |