NPI | 1831476118 |
---|---|
Former Name | ASHLEY MCMULLEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: AK PHAP2069) |
Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051-294954) |
Enumeration Date | 2011-11-14 |
Last Update Date | 2021-06-03 |