| NPI | 1336370584 |
|---|---|
| Former Name | MARY M FREBIES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NM RP 5799) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ 7775) |
| 183500000X Pharmacist (Licence: IL 051031410) | |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2009-08-06 |