| NPI | 1700123924 |
|---|---|
| Former Name | JAMIE ANN GOECKEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202012846) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA 018741) |
| Enumeration Date | 2013-01-08 |
| Last Update Date | 2013-01-08 |