Individual
DOUGLAS BARASATIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2250 HICKORY RD, PLYMOUTH MEETING, PA 19462-1047
(800) 879-4471
Mailing address
830 MONTGOMERY AVE, APT 405, BRYN MAWR, PA 19010-3343
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP034602L
PA
Other
Enumeration date
02/09/2009
Last updated
02/09/2009
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