Individual
MRS. OLGA IVANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-8355
(270) 798-8400
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-8355
(270) 798-8400
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
45430
TN
Other
Enumeration date
07/30/2026
Last updated
07/30/2026
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