Provider Demographics
NPI:1164620365
Name:PANAGOS, CHRIS (PHARMACIST)
Entity Type:Individual
Prefix:MR
First Name:CHRIS
Middle Name:
Last Name:PANAGOS
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4897 RIDGEMOOR CIR
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34685-3166
Mailing Address - Country:US
Mailing Address - Phone:727-784-1089
Mailing Address - Fax:
Practice Address - Street 1:2200 TALL PINES DR STE 118
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33771-5318
Practice Address - Country:US
Practice Address - Phone:727-524-9333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-10
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS30968183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist