| NPI | 1740657022 |
|---|---|
| Former Name | JEN FUCHS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 52681) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP438616) |
| Enumeration Date | 2015-08-21 |
| Last Update Date | 2015-08-21 |