| NPI | 1811582612 |
|---|---|
| Former Name | LAUREN M CASTELLANOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 69298) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: TX 37543) |
| Enumeration Date | 2021-03-03 |
| Last Update Date | 2021-09-01 |