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Individual

VADIM ZHURAVENKO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
1710 APPLE GLEN BLVD, FORT WAYNE, IN 46804-1725
(260) 436-0113
Mailing address
15030 JASMINE KEY CT, FORT WAYNE, IN 46814-8975
(224) 305-4363

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26026838A
IN

Other

Enumeration date
10/26/2022
Last updated
06/01/2023
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