| Doctor Name: | DR. PETE KONIDAS |
| NPI Number: | 1023159803 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHARM. D. |
| License Number: | PU5938 |
| Business Practice Address: | 1200 7th Ave N Saint Petersburg, FL - 337051300 |
| Business Phone Number: | 7278251116 |
| Business Fax Number: | |
| Mailing Address: | 1126 119th Terr N, SAINT PETERSBURG |
| State: | FL |
| Postal Code: | 33716 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 02/12/2007 |
| NPI Last Update Date: | 08/23/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1835G0303X |
| License Number: | PU5938 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Pharmacy Service Providers |
| Taxonomy Classification: | Pharmacist |
| Taxonomy Specialization: | Geriatric |
| Taxonomy Definition: | A pharmacist who is certified in geriatric pharmacy practice is designated as a |