NPI | 1902032535 |
---|---|
Other Name | JAKE A MOCK |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OR RPH-0013183) |
Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: AK 102058) |
Enumeration Date | 2009-06-10 |
Last Update Date | 2021-03-29 |