NPI | 1447568795 |
---|---|
Former Name | AMY KATHLEEN PINO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS44510) |
Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH024665) |
Enumeration Date | 2010-09-21 |
Last Update Date | 2014-02-27 |