MEDICARE: DR. KONSTANTINOS N TZAFEROS JR. 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
1	183500000X	Pharmacist	RP439247	PA
2	183500000X	Pharmacist	28RI03134700	NJ

General Provider Information

NPI Number	:	1841342607
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KONSTANTINOS N TZAFEROS JR. PHARMD

Provider Business Mailing Address
First Line	:	42 E LAUREL RD STE 1900
Second Line	:
City	:	STRATFORD
State	:	NJ
Zip	:	08084-1336
Country	:	US
Telephone Number	:	856-346-3535
Fax Number	:	856-346-4953

Provider Business Practice Location Address
First Line	:	42 E LAUREL RD STE 1900
Second Line	:
City	:	STRATFORD
State	:	NJ
Zip	:	08084-1336
Country	:	US
Telephone Number	:	856-346-3535
Fax Number	:	856-346-4953

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/18/2007
Last Update Date	:	01/21/2021

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