MEDICARE: MARIA DEMETRIOU RPH

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
1	183500000X	Pharmacist	3233407	OH

General Provider Information

NPI Number	:	1962819656
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA DEMETRIOU RPH

Provider Business Mailing Address
First Line	:	835 BOGGS AVE
Second Line	:	APT #4
City	:	PITTSBURGH
State	:	PA
Zip	:	15211-2356
Country	:	US
Telephone Number	:	412-298-2737
Fax Number	:

Provider Business Practice Location Address
First Line	:	835 BOGGS AVE
Second Line	:	APT #4
City	:	PITTSBURGH
State	:	PA
Zip	:	15211-2356
Country	:	US
Telephone Number	:	412-298-2737
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2014
Last Update Date	:	07/15/2014

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