NPI | 1689073546 |
---|---|
Former Name | AMELIA VERA SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: AZ S020702) |
Additional Taxonomies | 183500000X Pharmacist (Licence: AZ S020702) |
183500000X Pharmacist (Licence: OH 03234155) | |
Enumeration Date | 2014-08-17 |
Last Update Date | 2021-10-04 |