| NPI | 1285358309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARICO DOVE Owner 984-206-4510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1835N1003X Pharmacist, Nutrition Support |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education |
| 133V00000X Dietitian, Registered | |
| 183500000X Pharmacist | |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2022-11-15 |