Individual
DEMITRA MANTZOPOULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
43900 GARFIELD RD STE 102, CLINTON TWP, MI 48038-1137
(586) 646-2323
Mailing address
4829 MANSFIELD AVE APT 3, ROYAL OAK, MI 48073-1343
(248) 410-7131
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302414867
MI
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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