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DR. DEMETRA ELIZABETH ANTIMISIARIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
501 E BROADWAY, SUITE 204, LOUISVILLE, KY 40202-1785
(502) 852-2813
(502) 852-0415
Mailing address
501 E BROADWAY STE 204, UNIV. OF LOUISVILLE:DEPT. OF FAMILY & GERIATRIC MED, LOUISVILLE, KY 40202-1785
(502) 852-2813
(502) 852-0415

Taxonomy

Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
013872
KY

Other

Enumeration date
12/07/2007
Last updated
12/07/2007
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