NPI | 1659673408 |
---|---|
Former Name | JANET M HOLLOWAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: SC 12272) |
Additional Taxonomies | 183500000X Pharmacist (Licence: AZ S006439) |
183500000X Pharmacist (Licence: WA PH 00009249) | |
Enumeration Date | 2010-11-30 |
Last Update Date | 2010-11-30 |