| NPI | 1467569863 |
|---|---|
| Former Name | BROOK SMITH KAWCHAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302034164) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03-01-27524) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2014-06-05 |