NPI | 1598003386 |
---|---|
Former Name | AMY E CRABTREE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: KY 016078) |
Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03132389) |
183500000X Pharmacist (Licence: WV RP0007995) | |
Enumeration Date | 2013-01-29 |
Last Update Date | 2023-01-18 |