| NPI | 1578658704 |
|---|---|
| Former Name | TIANN TAMEKA CAMPBELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY I063847) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS0039892) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2022-08-22 |