NICHOLAOS C. BELLOS, M.D.,P.A.
Pharmacy at Lemmon Ave, Dallas, TX

License number
Texas 19388
Category
Pharmacy
Type
Pharmacist
Owner
Name: MR. ROBERT KENNETH WAGNER
Title: CHIEF FINANCIAL OFFICER
Phone: (214) 828-4702
Address
Address
2909 Lemmon Ave, Dallas, TX 75204
National Provider ID: 1669619334
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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NICHOLAOS C. BELLOS, MD PA

Addison, TX  -  Dallas, TX

Status:
Inactive
Registration:
Sep 15, 1993
Addresses:
15800 Dooley Rd STE 100, Addison, TX 75001 (Mailing)
2909 Lemmon Ave, Dallas, TX 75204
State ID:
0081468803
Business type:
Professional Association
President , Director , Member:
Nicholaos C. Bellos President , Director , Member, inactive
Agent:
Nicholaos C Bellos,2909 Lemmon Ave, Dallas, TX 75204 (Physical)
TIN:
17525009100

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