Individual
DMYTRO I TYSHCHYSHYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9026 SEMINOLE TRL, RUCKERSVILLE, VA 22968-3319
(434) 985-3067
Mailing address
2414 CRESCENT WAY, CHARLOTTESVILLE, VA 22911-3585
(980) 425-4118
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202220568
VA
Other
Enumeration date
05/16/2023
Last updated
05/16/2023
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