Individual
CONSTANTINE STEFANADIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 853-0961
Mailing address
237 CHIVAS DR, ROANOKE, VA 24019-8008
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
202214040
VA
183500000X
Pharmacist
25107
NC
Other
Enumeration date
11/05/2018
Last updated
11/05/2018
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