NPI | 1659435162 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY44710) |
Additional Taxonomies | 183500000X Pharmacist (Licence: CA RPH48666) |
Enumeration Date | 2006-12-20 |
Last Update Date | 2008-02-07 |