Provider Demographics
NPI:1164791695
Name:DELMADOROS, CHRISTOS (PHARM D)
Entity Type:Individual
Prefix:
First Name:CHRISTOS
Middle Name:
Last Name:DELMADOROS
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2640 BAYSHORE BLVD
Mailing Address - Street 2:
Mailing Address - City:DUNEDIN
Mailing Address - State:FL
Mailing Address - Zip Code:34698-1801
Mailing Address - Country:US
Mailing Address - Phone:727-754-9497
Mailing Address - Fax:727-281-4444
Practice Address - Street 1:2640 BAYSHORE BLVD
Practice Address - Street 2:
Practice Address - City:DUNEDIN
Practice Address - State:FL
Practice Address - Zip Code:34698-1801
Practice Address - Country:US
Practice Address - Phone:727-754-9497
Practice Address - Fax:727-281-4444
Is Sole Proprietor?:No
Enumeration Date:2011-12-29
Last Update Date:2017-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS45490183500000X, 1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPS45490OtherSTATE LICENSE