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 |