Provider Demographics
NPI:1891828513
Name:KARTSOUNIS, DEAN G (RPH, CDE, CI, CDM)
Entity Type:Individual
Prefix:MR
First Name:DEAN
Middle Name:G
Last Name:KARTSOUNIS
Suffix:
Gender:M
Credentials:RPH, CDE, CI, CDM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:MIDDLETON
Mailing Address - State:MA
Mailing Address - Zip Code:01949-2265
Mailing Address - Country:US
Mailing Address - Phone:978-774-1061
Mailing Address - Fax:978-774-1217
Practice Address - Street 1:220 MAPLE ST
Practice Address - Street 2:
Practice Address - City:MIDDLETON
Practice Address - State:MA
Practice Address - Zip Code:01949-2265
Practice Address - Country:US
Practice Address - Phone:978-774-1061
Practice Address - Fax:978-774-1217
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2010-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA22446183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist