Individual
ANDREW TARASIDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2900 LAMB CIR, CHRISTIANSBURG, VA 24073-6344
(540) 641-3328
Mailing address
1762 TYLER RD # 2, CHRISTIANSBURG, VA 24073-6154
(540) 641-3328
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202217865
VA
Other
Enumeration date
08/02/2019
Last updated
08/02/2019
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