Provider Demographics
NPI:1982411781
Name:CHRISTODOULOPOULOS, HARALAMPOS ZISIS (PHARMD)
Entity type:Individual
Prefix:DR
First Name:HARALAMPOS
Middle Name:ZISIS
Last Name:CHRISTODOULOPOULOS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:BOBBY
Other - Middle Name:ZISIS
Other - Last Name:CHRISTODOULOPOULOS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1170 WELCH RD APT 711
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94304-1914
Mailing Address - Country:US
Mailing Address - Phone:847-385-8197
Mailing Address - Fax:
Practice Address - Street 1:725 WELCH RD
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1601
Practice Address - Country:US
Practice Address - Phone:847-385-8197
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-16
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA90535183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist