Provider Demographics
NPI:1962819656
Name:DEMETRIOU, MARIA (RPH)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:DEMETRIOU
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:835 BOGGS AVE
Mailing Address - Street 2:APT #4
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15211-2356
Mailing Address - Country:US
Mailing Address - Phone:412-298-2737
Mailing Address - Fax:
Practice Address - Street 1:835 BOGGS AVE
Practice Address - Street 2:APT #4
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15211-2356
Practice Address - Country:US
Practice Address - Phone:412-298-2737
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-15
Last Update Date:2014-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3233407183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist