NPI | 1457749855 |
---|---|
Former Name | RACHEL LYNN ALTHOFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: OK 15945) |
Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-14779) |
Enumeration Date | 2015-01-07 |
Last Update Date | 2018-06-12 |