| NPI | 1992309272 |
|---|---|
| Former Name | REBECCA JEAN MELILLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NH PHCY-01054) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH239583) |
| Enumeration Date | 2020-11-26 |
| Last Update Date | 2020-11-26 |