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NPI Code Detail

MEDICARE: DR. CONSTANTINE PETROPOULOS PHARM D, MHSA

MEDICARE: DR. CONSTANTINE PETROPOULOS PHARM D, MHSA
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
1183500000XPharmacistPS34015FL
21835N1003XNutrition Support PharmacistPS34015FL
31835P1200XPharmacotherapy PharmacistPS34015FL

General Provider Information

NPI Number : 1295720381
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CONSTANTINE PETROPOULOS PHARM D, MHSA
Provider Business Mailing Address
First Line : 200 SE 5TH AVE
Second Line : UNIT 508
City : DANIA BEACH
State : FL
Zip : 33004-4073
Country : US
Telephone Number : 954-927-4280
Fax Number : 305-575-3394
Provider Business Practice Location Address
First Line : 1201 NW 16TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33125-1624
Country : US
Telephone Number : 954-927-4280
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2005
Last Update Date : 09/11/2025

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