Individual
ANASTASSIOS T AITAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R. PH
Contact information
Practice address
1307 ALLEN DR, SUITE H, TROY, MI 48083-4000
(800) 255-5967
(909) 799-4364
Mailing address
PO BOX 840688, DALLAS, TX 75284-0688
(800) 255-5967
(909) 799-4364
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
532029267
MI
Other
Enumeration date
04/28/2008
Last updated
05/09/2008
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