| NPI | 1881973113 |
|---|---|
| Former Name | REBECCA JEAN CALLOWAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202210585) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 20595) |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2023-08-15 |