NPI | 1619595253 |
---|---|
Former Name | TAMEKA A WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302046292) |
Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS54437) |
Enumeration Date | 2020-07-09 |
Last Update Date | 2020-07-09 |