Doctor Name: | DR. GEORGE ANGELOPOULOS |
NPI Number: | 1265709265 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHARM.D |
License Number: | 040973-1 |
Business Practice Address: | 517a Larkfield Rd East Northport, NY - 11731 |
Business Phone Number: | 6312663999 |
Business Fax Number: | 6312663726 |
Mailing Address: | 11 Sesame St, KINGS PARK |
State: | NY |
Postal Code: | 117542835 |
Phone Number: | 6319792792 |
Fax Number: | 6317246811 |
NPI Enumeration Date: | 11/19/2011 |
NPI Last Update Date: | 11/19/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1835P0018X |
License Number: | 040973-1 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacist |
Taxonomy Specialization: | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Taxonomy Definition: | Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |