NPI | 1992172852 |
---|---|
Former Name | LAUREN NICHOLE CASTLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03233690) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302039358) |
Enumeration Date | 2015-08-26 |
Last Update Date | 2021-11-18 |