Individual
ALEXANDRA GONCHARENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
833 S WOOD ST RM 164, UNIVERSITY OF ILLINOIS AT CHICAGO COLLEGE OF PHARMACY, CHICAGO, IL 60612-7229
(312) 996-1366
(312) 996-0379
Mailing address
833 S WOOD ST, RM 164 (MC 886), UNIVERSITY OF ILLINOIS AT CHICAGO COLLEGE OF PHARMACY, CHICAGO, IL 60612
(312) 996-1366
(312) 996-0379
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.297668
IL
Other
Enumeration date
02/03/2016
Last updated
02/03/2016
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