| NPI | 1275623027 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03-1-22571) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OK 13899) |
| 183500000X Pharmacist (Licence: TN 27445) | |
| 183500000X Pharmacist (Licence: KY 013271) | |
| 183500000X Pharmacist (Licence: AR 012479) | |
| 183500000X Pharmacist (Licence: NE 12551) | |
| 183500000X Pharmacist (Licence: NC 18482) | |
| 183500000X Pharmacist (Licence: OR RPH-0010800) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2007-07-08 |