Individual provider · Type 1 NPI

Mike Pissourios, RPH

Pharmacist · Tampa, FL

NPI number 1255800306 Active

Practice location

1420 W Waters Ave Ste 100
Tampa, FL 33604-2830

Mailing address

3916 Little Egret Ct
Lutz, FL 33558-2711

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Care Pharmacist 1835P2201XPS026565 (FL)
Pharmacist Primary 183500000XPS026565 (FL)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1255800306

Mike Pissourios, RPH's National Provider Identifier is 1255800306, issued on Nov 19, 2018. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Tampa, FL. The record was last updated on Nov 19, 2018.