Individual
EVDOKIA S METAXAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
(215) 823-5800
Mailing address
416 TIMBERLAKE RD, UPPER DARBY, PA 19082-4904
(610) 209-5714
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP448113
PA
Other
Enumeration date
06/08/2014
Last updated
06/08/2014
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