Individual
DR. EMMANUEL ANGELO BALTATZIDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
331 N READING RD, EPHRATA, PA 17522-1652
(717) 733-4052
(717) 738-0475
Mailing address
331 N READING RD, EPHRATA, PA 17522-1652
(717) 733-4052
(717) 738-0475
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP441047
PA
Other
Enumeration date
11/22/2018
Last updated
11/22/2018
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