MEDICARE: PHAROS MANAGEMENT GROUP

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
1	333600000X	Pharmacy	PH30207	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275086787
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHAROS MANAGEMENT GROUP

Provider Business Mailing Address
First Line	:	1003 VIRGINIA AVE
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34683-4438
Country	:	US
Telephone Number	:	727-754-9497
Fax Number	:	727-281-4444

Provider Business Practice Location Address
First Line	:	1003 VIRGINIA AVE
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34683-4438
Country	:	US
Telephone Number	:	727-754-9497
Fax Number	:	727-281-4444

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	CHRISTOS DELMADOROS
Credential	:	PHARM.D.
Telephone Number	:	727-754-9497

Provider Enumeration Date	:	08/02/2016
Last Update Date	:	05/18/2022

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Directions to “PHAROS MANAGEMENT GROUP ” Practice Location

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