Healthcare Provider Details

I. General information

NPI: 1003211673
Provider Name (Legal Business Name): VERONIKA TIKHONOVA PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2014
Last Update Date: 10/25/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7305 SPRING HILL DR
SPRING HILL FL
34606-4344
US

IV. Provider business mailing address

3431 LORI LN
NEW PORT RICHEY FL
34655-1833
US

V. Phone/Fax

Practice location:
  • Phone: 727-967-3227
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS51970
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: