Individual
HANNA KOVALENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 362-4471
Mailing address
410 OLD HICKORY DR, LAKE CORMORANT, MS 38641-9614
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11761
MS
Other
Enumeration date
07/26/2011
Last updated
07/26/2011
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