Individual
DEMETRA XENIDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
695 DELSEA DR N, GLASSBORO, NJ 08028-1447
(856) 863-0695
Mailing address
105 WITHERSPOON CT, MONROEVILLE, NJ 08343-2537
(856) 226-3169
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03023100
NJ
Other
Enumeration date
07/04/2010
Last updated
07/04/2010
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