Individual
MR. ANITA ROSE PISSOURIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2199 W BUSCH BLVD, TAMPA, FL 33612-7565
(813) 932-2264
(813) 935-1555
Mailing address
2199 W BUSCH BLVD, TAMPA, FL 33612-7565
(813) 932-2264
(813) 935-1555
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS26619
FL
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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