NPI | 1780358523 |
---|---|
Former Name | MARY ANN PATRICIA PAINTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03441250) |
Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: PA RP455844) |
183500000X Pharmacist (Licence: PA RP455844) | |
183500000X Pharmacist (Licence: WV RP0013145) | |
Enumeration Date | 2021-08-05 |
Last Update Date | 2025-08-13 |