NPI | 1295018828 |
---|---|
Former Name | LORI ANN KRATZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03331504) |
Additional Taxonomies | 183500000X Pharmacist (Licence: PA rp445725) |
183500000X Pharmacist (Licence: OH RPH.03331504-3) | |
Enumeration Date | 2011-09-20 |
Last Update Date | 2021-01-01 |