| NPI | 1427322700 |
|---|---|
| Former Name | MALLORY ANNE THOMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AR PD11966) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: AR PI20812) |
| Enumeration Date | 2012-03-03 |
| Last Update Date | 2022-04-04 |