NPI | 1386122349 |
---|---|
Former Name | ASHLEY SQUIER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: IA 21571) |
Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051.292681) |
183500000X Pharmacist (Licence: NE 14633) | |
183500000X Pharmacist (Licence: SD 5609) | |
Enumeration Date | 2018-08-01 |
Last Update Date | 2018-08-01 |