Individual
KARINA IASHCHENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6908 MAIN ST, GLOUCESTER, VA 23061-5121
(804) 693-2160
Mailing address
6908 MAIN ST, GLOUCESTER, VA 23061-5121
(804) 693-2160
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202214849
VA
183500000X
Pharmacist
060204
NY
183500000X
Pharmacist
56416
TX
Other
Enumeration date
02/26/2015
Last updated
08/10/2016
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