NPI | 1508498163 |
---|---|
Former Name | BOBBIE JO MCCURREN |
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051288452) |
Additional Taxonomies | 183500000X Pharmacist (Licence: KY 021932) |
Enumeration Date | 2020-02-11 |
Last Update Date | 2022-01-24 |