Individual
ALEX NIRGIANAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
748 BEAL PKWY NW, FORT WALTON BEACH, FL 32547-3002
(850) 863-2204
Mailing address
748 BEAL PKWY NW, FORT WALTON BEACH, FL 32547-3002
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS58076
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
11/05/2020
Last updated
11/05/2020
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