Individual
GEORGE SAKELLARIOS MAVROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6905 KENNEDY AVE, HAMMOND, IN 46323-2210
(219) 844-5034
Mailing address
17556 MAPLEWOOD DR, LOWELL, IN 46356-9371
(219) 791-2082
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26016965A
IN
Other
Enumeration date
07/02/2020
Last updated
07/02/2020
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