| NPI | 1245578616 |
|---|---|
| Former Name | COLLEEN HARVEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP440045) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ S019748) |
| 183500000X Pharmacist (Licence: ND RPH5367) | |
| 183500000X Pharmacist (Licence: WI 14653-040) | |
| Enumeration Date | 2013-01-19 |
| Last Update Date | 2020-10-19 |