Individual
EVAN TASIOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1161 BRIDGE ST, LOWELL, MA 01850-1252
(978) 453-0820
Mailing address
1161 BRIDGE ST, LOWELL, MA 01850-1252
(978) 453-0820
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH23975
MA
Other
Enumeration date
09/21/2011
Last updated
12/06/2011
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