| NPI | 1851423826 |
|---|---|
| Former Name | CRAIG L BATES |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH019400) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 42031) |
| 183500000X Pharmacist (Licence: LA 15293) | |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2021-01-21 |