Individual
MRS. CATHERINE BOUTSIKAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
921 83RD ST, BROOKLYN, NY 11228-2817
(718) 492-4470
Mailing address
1759 CLEAR RIVER FALLS LN, HENDERSON, NV 89012-3602
(718) 926-5380
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
042310
NY
183500000X
Pharmacist
19624
NV
Other
Enumeration date
03/18/2010
Last updated
04/06/2020
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