| NPI | 1659695666 |
|---|---|
| Former Name | MARJORIE J MITTLEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 27494) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 042245) |
| Enumeration Date | 2010-03-19 |
| Last Update Date | 2022-10-05 |