Individual
MR. GEORGE D KOLLIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2351 E 22ND ST, ST VINCENT CHARITY HOSPITAL, CLEVELAND, OH 44115-3111
(216) 592-2853
(216) 592-2875
Mailing address
32246 DAKOTA RUN, AVON LAKE, OH 44012-2610
(440) 933-3961
(216) 592-2875
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03218130
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7649709
—
OH
01
—
FV94211
FLU VACCINE MEDICARE PIN
OH
Enumeration date
12/19/2006
Last updated
07/08/2007
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