Individual
ELENI POUTAKIDOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4179 WOODROW AVE, BURTON, MI 48509-1051
(231) 709-8992
Mailing address
4179 WOODROW AVE, BURTON, MI 48509-1051
(231) 709-8992
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302038622
MI
Other
Enumeration date
04/12/2011
Last updated
04/12/2011
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