| NPI | 1740233550 |
|---|---|
| Former Name | JACQUELINE LEVINGSTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 16888) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: CO 16888) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2025-09-02 |