NPI | 1417619503 |
---|---|
Former Name | BRANDI KAY BARTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: KS 1-13733) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MO 045249) |
183500000X Pharmacist (Licence: AR PD15565) | |
Enumeration Date | 2021-10-06 |
Last Update Date | 2021-10-06 |