Individual
ELENI KOUTSIKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15007 JOHN J DELANEY DR, CHARLOTTE, NC 28277-2740
(704) 295-0861
Mailing address
15007 JOHN J DELANEY DR, CHARLOTTE, NC 28277-2740
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17343
NC
Other
Enumeration date
05/05/2011
Last updated
05/05/2011
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