MEDICARE: JULIA SOBOLENKO RPH

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	RPH034066	GA

General Provider Information

NPI Number	:	1184473928
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIA SOBOLENKO RPH

Provider Business Mailing Address
First Line	:	PO BOX 114
Second Line	:
City	:	DALLAS
State	:	GA
Zip	:	30132-0003
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	PO BOX 114
Second Line	:
City	:	DALLAS
State	:	GA
Zip	:	30132-0003
Country	:	US
Telephone Number	:	425-343-7719
Fax Number	:

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

Provider Enumeration Date	:	05/15/2024
Last Update Date	:	05/15/2024

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Directions to “ JULIA SOBOLENKO RPH” Practice Location

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