Individual
MR. DIMITRIOS BASTOUNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
7887 26 MILE RD, WASHINGTON TWP, MI 48094-3820
(586) 677-3438
Mailing address
17370 SHINNECOCK DR, MACOMB, MI 48042-1147
(586) 764-5983
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302029638
MI
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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