NPI | 1992936033 |
---|---|
Former Name | CHERYL LYNNE JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: CA 40315) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NV 09434) |
183500000X Pharmacist (Licence: MI 5302043909) | |
183500000X Pharmacist (Licence: VA 0202214832) | |
183500000X Pharmacist (Licence: KY 018189) | |
Enumeration Date | 2009-08-06 |
Last Update Date | 2022-07-21 |