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NPI Code Detail

MEDICARE: DR. DESPINA IOANNIDIS PHARMD

MEDICARE: DR. DESPINA IOANNIDIS PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistPH232817MA

General Provider Information

NPI Number : 1689956252
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DESPINA IOANNIDIS PHARMD
Provider Business Mailing Address
First Line : 26 KIMBALL RD
Second Line :
City : WATERTOWN
State : MA
Zip : 02472-3513
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 399 WASHINGTON ST
Second Line :
City : NEWTON
State : MA
Zip : 02458-1536
Country : US
Telephone Number : 617-658-6421
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2011
Last Update Date : 09/09/2011

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Directions to “ DR. DESPINA IOANNIDIS PHARMD” Practice Location

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