| NPI | 1811275035 |
|---|---|
| Former Name | ALIX MINOR PANDOLFINO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 13321) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202210824) |
| 183500000X Pharmacist (Licence: GA RPH029013) | |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2020-01-31 |