| NPI | 1619334364 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 38290) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NE 14825) |
| 183500000X Pharmacist (Licence: OR RPH-0014979) | |
| 183500000X Pharmacist (Licence: TN 38979) | |
| 183500000X Pharmacist (Licence: VA 0202214333) | |
| 183500000X Pharmacist (Licence: WV RP0009207) | |
| 183500000X Pharmacist (Licence: AL 18629) | |
| 183500000X Pharmacist (Licence: AR PD13178) | |
| 183500000X Pharmacist (Licence: KY 018104) | |
| 183500000X Pharmacist (Licence: LA PST.020971) | |
| 183500000X Pharmacist (Licence: MI 5302043373) | |
| 183500000X Pharmacist (Licence: MS T-13868) | |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2016-01-26 |