| NPI | 1689274052 |
|---|---|
| Former Name | ANGELINA GARIPOV |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP454958) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI04126600) |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2022-08-28 |