Provider Demographics
NPI:1972083343
Name:SMARAGDIS, ANNA VASILIKI (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:VASILIKI
Last Name:SMARAGDIS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2501 W ROOSEVELT BLVD
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28110-0418
Mailing Address - Country:US
Mailing Address - Phone:704-283-1506
Mailing Address - Fax:
Practice Address - Street 1:2501 W ROOSEVELT BLVD
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28110-0418
Practice Address - Country:US
Practice Address - Phone:704-283-1506
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-15
Last Update Date:2018-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC28175183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist