Provider Demographics
NPI:1417489865
Name:PHAROS MANAGEMENT GROUP
Entity Type:Organization
Organization Name:PHAROS MANAGEMENT GROUP
Other - Org Name:PHARMACO MEDS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACY MANAGET
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOS
Authorized Official - Middle Name:
Authorized Official - Last Name:DELMADOROS
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:727-754-9497
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-03
Last Update Date:2017-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH302073336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy