NPI | 1629143276 |
---|---|
Former Name | SUSAN FRANCES STONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: WI 12002-040) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NC 8437) |
Enumeration Date | 2006-11-21 |
Last Update Date | 2007-07-08 |