Individual provider · Type 1 NPI

Demitra Michaelidis

Pharmacist · Braintree, MA

NPI number 1730928177 Active

Practice location

140 Wood Rd Ste 100
Braintree, MA 02184-2512

Mailing address

64 Endicott St
Quincy, MA 02169-7839

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPH239859 (MA)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1730928177

Demitra Michaelidis's National Provider Identifier is 1730928177, issued on May 24, 2024. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Braintree, MA. The record was last updated on Sep 28, 2026.