Individual
MICHAEL ANGELO KOSTARIDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
8990 W GLENDALE AVE, GLENDALE, AZ 85305-1127
(800) 379-0092
Mailing address
8990 W GLENDALE AVE, GLENDALE, AZ 85305-1127
(401) 256-1354
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
04570
RI
183500000X
Pharmacist
27416
MA
183500000X
Pharmacist
48451
FL
183500000X
Pharmacist
S018790
AZ
Other
Enumeration date
04/19/2014
Last updated
04/19/2014
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