NPI | 1245821925 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS61954) |
Additional Taxonomies | 183700000X Pharmacy Technician (Licence: FL RPT79770) |
Enumeration Date | 2021-01-27 |
Last Update Date | 2021-02-08 |