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NPI Code Detail

MEDICARE: CHRISTOPHE ANTONOS PHARMD.

MEDICARE: CHRISTOPHE ANTONOS PHARMD.
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
1183500000XPharmacistPS54216FL

General Provider Information

NPI Number : 1457721755
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHE ANTONOS PHARMD.
Provider Business Mailing Address
First Line : 1800 N NOB HILL RD
Second Line :
City : PLANTATION
State : FL
Zip : 33322-6565
Country : US
Telephone Number : 954-916-9713
Fax Number : 954-916-9765
Provider Business Practice Location Address
First Line : 1800 N NOB HILL RD
Second Line :
City : PLANTATION
State : FL
Zip : 33322-6565
Country : US
Telephone Number : 954-916-9713
Fax Number : 954-916-9765
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2015
Last Update Date : 09/29/2015

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Directions to “ CHRISTOPHE ANTONOS PHARMD.” Practice Location

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