Iliadis, Tanya L

Iliadis, Tanya L is an sole proprietor health care provider with primary practice located at 485 Arsenal St , Watertown MA 02472-5091. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Iliadis, Tanya L can be contacted via phone (617) 972-5318.

Contact Information

Primary practice address
485 Arsenal St Watertown MA 02472-5091
Phone: (617) 972-5318
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 26021 Massachusetts

Profile Details

NPI number 1982711719
LBN Legal business name Iliadis, Tanya L
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 25th, 2006
Last updated May 14th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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