Individual
DR. MINA ATHANASIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
14280 MARSH LN, ADDISON, TX 75001-3857
(972) 241-4532
Mailing address
14280 MARSH LN, ADDISON, TX 75001-3857
(972) 241-4532
(972) 241-4136
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
61377
TX
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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