Individual
ALEXANDER YELISAVETSKIY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
481 ANGELL ST, PROVIDENCE, RI 02906-4407
(401) 521-4340
(401) 273-4217
Mailing address
481 ANGELL ST, PROVIDENCE, RI 02906-4407
(401) 521-4340
(401) 273-4217
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
04249
RI
183500000X
Pharmacist
26451
MA
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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