Pissourios, Mike

Pissourios, Mike is an individual health care provider with primary practice located at 1420 W Waters Ave Ste 100 , Tampa FL 33604-2830. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Ambulatory Care, Pharmacy Service Providers / Pharmacist. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Pissourios, Mike can be contacted via phone (813) 443-9619.

Contact Information

Primary practice address
1420 W Waters Ave Ste 100 Tampa FL 33604-2830
Phone: (813) 443-9619
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Ambulatory Care 1835P2201X PS026565 Florida
Pharmacy Service Providers / Pharmacist 183500000X PS026565 Florida

Profile Details

NPI number 1255800306
LBN Legal business name Pissourios, Mike
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2018
Last updated Nov 19th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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