| NPI | 1821422734 |
|---|---|
| Former Name | ALEXIS C KOUNTOURIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 23676) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302043254) |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2016-05-12 |