Individual
ANASTASIA MARIE DIAMANTOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
50 N MEDICAL DR # A, A0050, SALT LAKE CITY, UT 84132-0001
(817) 808-2963
Mailing address
50 N MEDICAL DR # A, A0050, SALT LAKE CITY, UT 84132-0001
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
53172
TX
183500000X
Pharmacist
Primary
8681694-1721
UT
Other
Enumeration date
07/25/2013
Last updated
07/25/2013
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