NPI | 1629477120 |
---|---|
Former Name | MAX EUGENE BURCHETT-ZUNIGA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OK 15444) |
Enumeration Date | 2014-08-20 |
Last Update Date | 2021-02-18 |