NPI | 1851905731 |
---|---|
Former Name | ASHLEY DANIELLE HORODYSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: WY 4258) |
Additional Taxonomies | 183500000X Pharmacist (Licence: CO 0023468) |
Enumeration Date | 2020-09-08 |
Last Update Date | 2023-11-15 |