| NPI | 1417323528 |
|---|---|
| Former Name | DORIAN MERCEDES HOLLINGWORTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S021101) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 043807) |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2015-08-12 |