| NPI | 1740465673 |
|---|---|
| Former Name | JIMMIE RODGERS MCNALLY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ME PR5591) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NH R2073) |
| 183500000X Pharmacist (Licence: FL PS41273) | |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2011-05-13 |