NPI | 1225443831 |
---|---|
Former Name | AMY LYNN WUJASTYK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: NY 059157) |
Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: NY 059157) |
Enumeration Date | 2014-06-23 |
Last Update Date | 2025-06-02 |