| NPI | 1548658693 |
|---|---|
| Former Name | KALA MARIE BERKEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR RPH-0014281) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60498946) |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2014-12-23 |