| NPI | 1922463504 |
|---|---|
| Other Name | HENRY FONSECA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: TX 44104) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 44104) |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: TX 44104) | |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2021-07-22 |