NPI | 1508976861 |
---|---|
Former Name | REBECCA LEE SEAMANS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MI 5302040444) |
Additional Taxonomies | 1835P1300X Pharmacist Psychiatric (Licence: AL 14438) |
1835P1300X Pharmacist Psychiatric (Licence: SC 10074) | |
Enumeration Date | 2006-08-30 |
Last Update Date | 2018-03-17 |