| NPI | 1275815649 |
|---|---|
| Former Name | LESLIE SCHNACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IA 21221) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 294270) |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2011-09-12 |