NPI | 1629597273 |
---|---|
Former Name | MORGAN PAYNE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: TX 56625) |
Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: CO 21317) |
Enumeration Date | 2017-09-14 |
Last Update Date | 2021-11-03 |