Individual
CLETIS KOUKOULAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3612 WINDBER BLVD, PALM HARBOR, FL 34685-1131
(727) 643-0690
Mailing address
3612 WINDBER BLVD, PALM HARBOR, FL 34685-1131
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PU5766
FL
Other
Enumeration date
04/15/2025
Last updated
04/15/2025
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