| NPI | 1902304199 |
|---|---|
| Other Name | DOC LAMBERJACK |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OH 03-3-20049) |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2026-06-19 |