MIRIAM DATIKASHVILI

PHILADELPHIA, PA
NPI1295040509
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: PA  rp441275)
Enumeration Date2010-08-11
Last Update Date2010-08-11
Business Address
Dr. MIRIAM DATIKASHVILI pharmD
3200 RED LION RD
PHILADELPHIA, PA 19114-1129
Phone number: 215-637-1200
Mailing Address
Dr. MIRIAM DATIKASHVILI pharmD
476 DEPUE PL
PHILADELPHIA, PA 19116-2006
Phone number: