| NPI | 1831161033 |
|---|---|
| Former Name | DIXIE DONN BRAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OK 13066) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60094518) |
| 183500000X Pharmacist (Licence: TX 47066) | |
| 183500000X Pharmacist (Licence: HI PH2703) | |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2010-05-06 |