Provider Demographics
NPI:1922320498
Name:KARAVOKIROS, THEOPHILOS GEORGE (BS IN PHARMACY)
Entity Type:Individual
Prefix:MR
First Name:THEOPHILOS
Middle Name:GEORGE
Last Name:KARAVOKIROS
Suffix:
Gender:M
Credentials:BS IN PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7711 COLONY RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28226-7673
Mailing Address - Country:US
Mailing Address - Phone:704-541-3773
Mailing Address - Fax:704-541-8651
Practice Address - Street 1:7711 COLONY RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226-7673
Practice Address - Country:US
Practice Address - Phone:704-541-3773
Practice Address - Fax:704-541-8651
Is Sole Proprietor?:No
Enumeration Date:2010-02-24
Last Update Date:2010-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14684183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist