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NPI Code Detail

MEDICARE: DR. KONSTANTIN ARISTIDES VLAHOS PHARM.D

MEDICARE: DR. KONSTANTIN ARISTIDES VLAHOS PHARM.D
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
1183500000XPharmacist065883NY

General Provider Information

NPI Number : 1982365953
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KONSTANTIN ARISTIDES VLAHOS PHARM.D
Provider Business Mailing Address
First Line : 9154 COUNTY HIGHWAY 16
Second Line :
City : TREADWELL
State : NY
Zip : 13846-4612
Country : US
Telephone Number : 518-366-5120
Fax Number :
Provider Business Practice Location Address
First Line : 460 ANDES RD
Second Line :
City : DELHI
State : NY
Zip : 13753-7443
Country : US
Telephone Number : 607-746-0332
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2022
Last Update Date : 01/03/2022

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