NPI | 1598288086 |
---|---|
Former Name | ASHLEY KAY BUETTNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051300369) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2017028025) |
183500000X Pharmacist (Licence: WA 61060178) | |
Enumeration Date | 2017-07-17 |
Last Update Date | 2020-08-28 |