Stelios Theophanous

NPI #1861771735 in Hampton, Virginia

Provider Information

NPI Number: 1861771735
Entity Type: Individual
Name: Stelios Theophanous
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Aug 10, 2011
Last Updated: Mar 30, 2015

Practice Location

Address: 77 NEALY AVE
Address 2: 633RD MEDICAL GROUP
City: Hampton
State: Virginia
ZIP Code: 23665-2040
Phone: (330) 518-7129

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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