Vadim Zhuravenko, PharmD
Pharmacist in Fort Wayne, IN. Individual provider (NPI-1).
NPI number1558088864
StatusActive
Last updated in NPPESJun 1, 2023
Details
- NPI
- 1558088864
- Entity type
- Individual (NPI-1)
- Name
- Vadim Zhuravenko
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 26, 2022
- Certification date
- Jun 1, 2023
- Last updated
- Jun 1, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 26026838A | IN | Yes |
Practice location
1710 Apple Glen BlvdFort Wayne, IN 46804-1725
Phone 260-436-0113
Mailing address
15030 Jasmine Key CtFort Wayne, IN 46814-8975
Phone 224-305-4363
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