Individual
JULIA VISHENCHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3601 S 6TH AVE, TUCSON, AZ 85723-0001
(520) 792-1450
Mailing address
4092 BROCK RD, CHATTANOOGA, TN 37421-1209
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
45194
TN
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
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