| NPI | 1235350794 |
|---|---|
| Other Name | MYRNA ELAINE PENDERY-SPIVACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03-2-18213) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302023660) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2009-07-30 |