NPI | 1972119576 |
---|---|
Former Name | LYNNE KAY BURTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202009395) |
Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPHT000123-T) |
183500000X Pharmacist (Licence: NC 28689) | |
Enumeration Date | 2020-09-18 |
Last Update Date | 2020-09-18 |