Individual
EVGENIA PROKOPENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
2615 E CLINTON AVE, FRESNO, CA 93703-2223
(559) 225-6100
(559) 228-6980
Mailing address
2615 E CLINTON AVE, FRESNO, CA 93703-2223
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PS49046
FL
1835P1200X
Pharmacotherapy Pharmacist
Primary
PS49046
FL
Other
Enumeration date
04/30/2014
Last updated
11/15/2017
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