NPI | 1629364450 |
---|---|
Former Name | KAREN K THOMPSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: ND 4297) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MT 6728) |
Enumeration Date | 2011-06-20 |
Last Update Date | 2021-01-12 |