NPI | 1558814269 |
---|---|
Former Name | STEPHANIE AMBER GARRETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: RI RPH05115) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH234363) |
183500000X Pharmacist (Licence: VT 033.0117592) | |
Enumeration Date | 2016-07-28 |
Last Update Date | 2022-12-28 |