NPI | 1821613498 |
---|---|
Former Name | DADRION ANNETTE BRASSFIELD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2005009704) |
Additional Taxonomies | 183500000X Pharmacist (Licence: OK 11849) |
183500000X Pharmacist (Licence: AR PD09905) | |
Enumeration Date | 2020-06-10 |
Last Update Date | 2024-10-07 |