| NPI | 1508988759 |
|---|---|
| Former Name | ERIN E SMOK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 27707) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ 12596) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2007-07-08 |