Individual
KOSTANTINOS MICHAEL KATSANEVAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
150 ASHLEY AVE, MSC 584, CHARLESTON, SC 29425-8907
(843) 876-5585
Mailing address
150 ASHLEY AVE., MSC 584, CHARLESTON, SC 29425
(843) 876-5585
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13700
SC
Other
Enumeration date
10/09/2012
Last updated
10/09/2012
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