NPI | 1568781722 |
---|---|
Former Name | CARRIE ANN MCGINNESS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: NE 12747) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MA 27150) |
183500000X Pharmacist (Licence: NC 19179) | |
1835P1200X Pharmacist, Pharmacotherapy (Licence: NE 12747) | |
Enumeration Date | 2010-05-26 |
Last Update Date | 2017-12-08 |