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Individual
PENELOPE DEMETRIADES
Active
Individual
PENELOPE DEMETRIADES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
022961
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022961
NYS PHARMACIST REGISTRATION LICENCE
NY
Enumeration date
03/29/2010
Last updated
03/29/2010
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