Individual
MR. PETER TSIAKOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2401 RIDGE RD, HIGHLAND, IN 46322-1565
(219) 838-1412
Mailing address
2401 RIDGE RD, HIGHLAND, IN 46322-1565
(219) 838-1412
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26021030A
IN
Other
Enumeration date
08/26/2011
Last updated
01/27/2012
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