| NPI | 1376850503 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS26385) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 411055) |
| 183500000X Pharmacist (Licence: NE 12249) | |
| 183500000X Pharmacist (Licence: LA 17573) | |
| 183500000X Pharmacist (Licence: TN 23610) | |
| 183500000X Pharmacist (Licence: AR PD10077) | |
| 183500000X Pharmacist (Licence: KY 013156) | |
| 183500000X Pharmacist (Licence: ND 5089) | |
| 183500000X Pharmacist (Licence: AZ S017583) | |
| 183500000X Pharmacist (Licence: OH 03329160) | |
| 183500000X Pharmacist (Licence: OR 0012006) | |
| 183500000X Pharmacist (Licence: NV 17808) | |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2010-09-09 |