MEDICARE: ARTUR KRASNOPOLSKIY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	PS42731	FL

General Provider Information

NPI Number	:	1134724552
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARTUR KRASNOPOLSKIY

Provider Business Mailing Address
First Line	:	2500 PARKVIEW DR APT 1406
Second Line	:
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-2868
Country	:	US
Telephone Number	:	718-314-3282
Fax Number	:

Provider Business Practice Location Address
First Line	:	3700 NW 199TH ST
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33055-1444
Country	:	US
Telephone Number	:	305-430-9170
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2020
Last Update Date	:	12/02/2020

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Directions to “ ARTUR KRASNOPOLSKIY ” Practice Location

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