Individual
DIMITRIY YUKHANOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5050 W BASELINE RD, LAVEEN, AZ 85339-7324
(602) 703-8555
Mailing address
230 W ANGELA DR, PHOENIX, AZ 85023-6568
(602) 703-8555
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S019846
AZ
Other
Enumeration date
01/22/2014
Last updated
12/16/2025
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