Individual
MR. JOHN MYTSCHENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
786 SAINT GEORGES AVE, RAHWAY, NJ 07065-2627
(732) 499-4582
Mailing address
786 SAINT GEORGES AVE, RAHWAY, NJ 07065-2627
(732) 499-4582
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02218800
NJ
Other
Enumeration date
10/14/2011
Last updated
10/14/2011
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