NPI | 1740871938 |
---|---|
Former Name | TIFFANY ANN MCCLAIN-CASSELLA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03439967) |
Additional Taxonomies | 183500000X Pharmacist (Licence: PA RPI011684) |
Enumeration Date | 2021-01-29 |
Last Update Date | 2021-01-29 |