Individual
BASIL JOHN SARANTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
4825 MARBURG AVE UNIT A, CINCINNATI, OH 45209-5013
(513) 631-5690
Mailing address
3542 BROOKSTONE DR APT D, CINCINNATI, OH 45209-1171
(585) 314-3929
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03233093
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03233093
PHARMACIST LICENSE NUMBER
OH
Enumeration date
08/05/2013
Last updated
08/05/2013
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