NPI | 1457800088 |
---|---|
Former Name | BEAUTY FAST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S022005) |
Additional Taxonomies | 183500000X Pharmacist (Licence: WI 16204-40) |
1835P2201X Pharmacist, Ambulatory Care (Licence: TX 52464) | |
Enumeration Date | 2016-09-23 |
Last Update Date | 2016-09-23 |