Individual
DR. DANIEL KOWALENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1415 N ARIZONA AVE, GILBERT, AZ 85233-1616
(480) 293-0052
Mailing address
201 S MAIN ST, PEORIA, IL 61611-2458
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.298717
IL
Other
Enumeration date
11/26/2019
Last updated
06/12/2024
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