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Individual

DR. DEMETRI ANTONIO BOSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
1302 BARTERBROOK RD, STAUNTON, VA 24401-5013
(540) 886-2361
Mailing address
357 WINDIGROVE DR APT 1026, WAYNESBORO, VA 22980-7598
(757) 510-4979

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202218540
VA

Other

Enumeration date
12/27/2020
Last updated
12/27/2020
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