NPI | 1407194756 |
---|---|
Former Name | REBECCA LYNN STROBLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH020550) |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE010937) |
Enumeration Date | 2013-01-22 |
Last Update Date | 2021-07-27 |