NPI | 1417022120 |
---|---|
Former Name | DEBORAH ANN BARDON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: WI 11678-040) |
Additional Taxonomies | 183500000X Pharmacist (Licence: IA B15696) |
Enumeration Date | 2006-11-21 |
Last Update Date | 2007-07-08 |