Provider Demographics
NPI:1306441886
Name:KOLOKITHAS, KARINA (RPH)
Entity type:Individual
Prefix:
First Name:KARINA
Middle Name:
Last Name:KOLOKITHAS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:KARINA
Other - Middle Name:
Other - Last Name:KOLOKITHAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:170 CULLODEN DR
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MA
Mailing Address - Zip Code:02021-2074
Mailing Address - Country:US
Mailing Address - Phone:781-562-1222
Mailing Address - Fax:
Practice Address - Street 1:25 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MA
Practice Address - Zip Code:02021-4001
Practice Address - Country:US
Practice Address - Phone:781-828-5125
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-02
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA22989183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist