Individual
GEORGE STEPHANAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1228 BROADWAY, SAUGUS, MA 01906-4194
(781) 233-6768
Mailing address
648 BOSTON ST, LYNN, MA 01905-2034
(781) 727-5050
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH27057
MA
Other
Enumeration date
09/27/2011
Last updated
09/27/2011
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