NPI | 1336819366 |
---|---|
Other Name | ZAC RYAN LAWRENCE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: MS E-100398) |
Additional Taxonomies | 183500000X Pharmacist (Licence: TN 45483) |
Enumeration Date | 2021-09-21 |
Last Update Date | 2022-03-10 |