| NPI | 1528291614 |
|---|---|
| Former Name | ANGIE ADAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 34922) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-14380) |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2017-05-02 |