NPI | 1346665163 |
---|---|
Former Name | VALERIE LYNN FISHBECK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60424840) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302036855) |
Enumeration Date | 2014-03-03 |
Last Update Date | 2022-07-21 |