NPI | 1326277716 |
---|---|
Former Name | CARLY CLOUD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NM PC00000178) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NM RP00007285) |
183500000X Pharmacist (Licence: TX 47916) | |
Enumeration Date | 2009-07-07 |
Last Update Date | 2023-11-14 |