Individual
ATHENA ELENI XIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
32980 ALVARADO NILES RD STE 836, UNION CITY, CA 94587-3186
(800) 552-5520
Mailing address
6705 CORTE DEL VISTA, PLEASANTON, CA 94566
(925) 918-2039
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
72562
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
72562
PHARMACIST LICENSE
CA
Enumeration date
06/18/2022
Last updated
06/18/2022
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