A licensed pharmacist who has demonstrated specialized knowledge and skill in the delivery of patient care services by pharmacists that ensures the safe and effective use of medications for all children from neonates through adolescents.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Pediatrics | 1835P0200X |
* Indicates primary specialty
| NPI Number | 1417688458 |
| Credentials | PHARM.D. (Doctor of Pharmacy) |
| Entity | Individual |
| Enumeration date | 06/21/2022 |
| Last updated | 10/15/2025 - About 8 months ago |
| Sole proprietor1 | No |
| Identifiers |
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| Hospital affiliation | n/a |
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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