Provider Demographics
NPI:1457890808
Name:MAKRIS, PERRY (RPH)
Entity Type:Individual
Prefix:
First Name:PERRY
Middle Name:
Last Name:MAKRIS
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 1:1135 FARMINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:CT
Mailing Address - Zip Code:06037-5200
Mailing Address - Country:US
Mailing Address - Phone:860-828-0772
Mailing Address - Fax:860-828-3521
Practice Address - Street 1:1135 FARMINGTON AVE
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:CT
Practice Address - Zip Code:06037-5200
Practice Address - Country:US
Practice Address - Phone:860-828-0772
Practice Address - Fax:860-828-3521
Is Sole Proprietor?:No
Enumeration Date:2017-02-17
Last Update Date:2017-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT6622183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist