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 |