| NPI | 1790149854 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 39766) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA PST.018717) |
| 183500000X Pharmacist (Licence: WV RP0008392) | |
| 183500000X Pharmacist (Licence: MD 21574) | |
| 183500000X Pharmacist (Licence: OH 03226166) | |
| 183500000X Pharmacist (Licence: PA RP033607L) | |
| 183500000X Pharmacist (Licence: MO 2011017105) | |
| 183500000X Pharmacist (Licence: TN 0000033370) | |
| 183500000X Pharmacist (Licence: MS T-12461) | |
| 183500000X Pharmacist (Licence: AR PD10890) | |
| 183500000X Pharmacist (Licence: VA 0202209407) | |
| 183500000X Pharmacist (Licence: AL 19023) | |
| 183500000X Pharmacist (Licence: KY 014430) | |
| 183500000X Pharmacist (Licence: MI 5302043049) | |
| 183500000X Pharmacist (Licence: OR 0011532) | |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2016-04-05 |