| NPI | 1265417919 |
|---|---|
| Former Name | DENISE LICKING NELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 117185) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 117185-7) |
| 183500000X Pharmacist (Licence: AL 18166) | |
| 183500000X Pharmacist (Licence: LA PST.019409) | |
| 183500000X Pharmacist (Licence: KY 011625) | |
| 183500000X Pharmacist (Licence: OH 03122746) | |
| 183500000X Pharmacist (Licence: OR RPH-0012617) | |
| 183500000X Pharmacist (Licence: WV RP0008290) | |
| 183500000X Pharmacist (Licence: IN 26018645A) | |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2021-01-11 |