Provider Demographics
NPI:1457436461
Name:SOTIRIOU, CHRISTOPHER GUS (PHARMD, MBA)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:GUS
Last Name:SOTIRIOU
Suffix:
Gender:M
Credentials:PHARMD, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:242 E BROADWAY
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84111-2419
Mailing Address - Country:US
Mailing Address - Phone:801-641-8121
Mailing Address - Fax:
Practice Address - Street 1:242 E BROADWAY
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84111-2419
Practice Address - Country:US
Practice Address - Phone:801-641-8121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT324309-1701183500000X
UT32430917011835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered183500000XPharmacy Service ProvidersPharmacist
Not Answered1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy