| NPI | 1427330786 |
|---|---|
| Former Name | CYNTHIA RENEE PAIGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL ps43649) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA 024712) |
| 183500000X Pharmacist (Licence: AL 19546) | |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2021-09-16 |