| 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 |