NPI 1104102144

Konstantinos Melanidis, RPH

Practitioner Pharmacist Milford, CT

Practice location

Address: 1718 Boston Post Rd, Milford, CT 06460-2718
Phone: (203) 701-3051
Mailing address: 14 Carmel CT, Madison, CT 06443-1791

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 0006508 (CT)

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Registry record

NPI: 1104102144
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Oct 2011
Record last updated: 21 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.