NPI | 1609303155 |
---|---|
Former Name | JENNIFER TOMASSINI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202216725) |
Additional Taxonomies | 183500000X Pharmacist (Licence: WV RP0008003) |
183500000X Pharmacist (Licence: MD 20655) | |
183500000X Pharmacist (Licence: HI PH-3659) | |
Enumeration Date | 2017-05-15 |
Last Update Date | 2022-02-23 |