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1295040509
MIRIAM DATIKASHVILI
PHILADELPHIA, PA
NPI
1295040509
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: PA rp441275)
Enumeration Date
2010-08-11
Last Update Date
2010-08-11
Business Address
Dr. MIRIAM DATIKASHVILI pharmD
3200 RED LION RD
PHILADELPHIA, PA 19114-1129
Phone number: 215-637-1200
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Mailing Address
Dr. MIRIAM DATIKASHVILI pharmD
476 DEPUE PL
PHILADELPHIA, PA 19116-2006
Phone number:
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