NPI | 1770965162 |
---|---|
Former Name | AHMAD ANDERSON |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: LA PST020776) |
Additional Taxonomies | 183500000X Pharmacist (Licence: TX 53433) |
Enumeration Date | 2015-06-23 |
Last Update Date | 2015-06-23 |