| NPI | 1053541094 |
|---|---|
| Other Name | TELLY DEMESTIHAS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT pct0010714) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 043114-1) |
| 183500000X Pharmacist (Licence: NJ 28RI01998900) | |
| Enumeration Date | 2009-07-24 |
| Last Update Date | 2009-07-24 |