NPI | 1982129375 |
---|---|
Former Name | COURTNEY ANN BROOKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: CO PHA.0023446) |
Additional Taxonomies | 183500000X Pharmacist (Licence: ME PI45615) |
Enumeration Date | 2017-08-07 |
Last Update Date | 2023-03-09 |