NPI | 1336580828 |
---|---|
Former Name | SHAWNA CARGILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03236684) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI0411140) |
Enumeration Date | 2013-07-11 |
Last Update Date | 2024-04-30 |