Individual
EVGENIY CHERNOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6442 N 76TH ST, MILWAUKEE, WI 53223-6102
(414) 353-5620
Mailing address
6442 N 76TH ST, MILWAUKEE, WI 53223-6102
(414) 353-5620
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18566
WI
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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