NPI | 1801179437 |
---|---|
Former Name | HEATHER ALYSE REINHARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: NV 17252) |
Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03127518) |
Enumeration Date | 2011-09-20 |
Last Update Date | 2015-08-17 |