Provider Demographics
NPI:1508180910
Name:MARINAKIS, GEORGE D (RPH)
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:D
Last Name:MARINAKIS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:636 ASCOT DR
Mailing Address - Street 2:
Mailing Address - City:MAINEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45039-7507
Mailing Address - Country:US
Mailing Address - Phone:513-984-5953
Mailing Address - Fax:513-984-2039
Practice Address - Street 1:4150 HUNT RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-1159
Practice Address - Country:US
Practice Address - Phone:513-984-5953
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-15
Last Update Date:2010-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03318292183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist