NPI | 1902183262 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NJ 28RI02957500) |
Additional Taxonomies | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MD 16360) |
183500000X Pharmacist (Licence: PA RP438929) | |
183500000X Pharmacist (Licence: MD 16360) | |
183500000X Pharmacist (Licence: NJ 28RI02957500) | |
1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: PA RP438929) | |
Enumeration Date | 2011-11-14 |
Last Update Date | 2019-03-19 |