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Search › New Jersey › 183500000X

Evgueni Kovaltchouk, PHARMD

NPI 1265781405 · on the registry since 2012 · sole proprietor

Practice

Address
1049 Broad St
Bloomfield, NJ 07003
Phone
(973) 338-7300
Fax
(973) 338-4520
Organisation at this address
Terry Drugs Llc
Padawan Pharma Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-08-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey