NPI | 1770693780 |
---|---|
Former Name | ROBERTA JEAN LENTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: FL Ps0039742) |
Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03-2-26145) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2010-07-15 |