NPI | 1881833119 |
---|---|
Former Name | DEBRA L DAVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S012694) |
Additional Taxonomies | 183500000X Pharmacist (Licence: CA 53265) |
183500000X Pharmacist (Licence: FL PS36354) | |
Enumeration Date | 2009-02-10 |
Last Update Date | 2009-02-10 |