Individual
DR. EVGUENI KOVALTCHOUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1049 BROAD ST, BLOOMFIELD, NJ 07003-2896
(973) 338-7300
(973) 338-4520
Mailing address
1049 BROAD ST, BLOOMFIELD, NJ 07003-2896
(973) 338-7300
(973) 338-4520
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03516100
NJ
Other
Enumeration date
09/04/2012
Last updated
08/21/2020
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