| NPI | 1821443557 |
|---|---|
| Former Name | ERICA LYNN JENKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 24867) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WV RP0008564) |
| 183500000X Pharmacist (Licence: OH 03232919) | |
| 183500000X Pharmacist (Licence: VA 0202213815) | |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2018-03-17 |