MEDICARE: YULIYA DOVHANYCH 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	066647	NY

General Provider Information

NPI Number	:	1265028211
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YULIYA DOVHANYCH RPH

Provider Business Mailing Address
First Line	:	173 POST AVE
Second Line	:
City	:	WESTBURY
State	:	NY
Zip	:	11590-3100
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	19619 JAMAICA AVE
Second Line	:
City	:	HOLLIS
State	:	NY
Zip	:	11423-2641
Country	:	US
Telephone Number	:	929-499-3013
Fax Number	:	929-499-3014

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

Provider Enumeration Date	:	12/14/2020
Last Update Date	:	05/14/2024

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Directions to “ YULIYA DOVHANYCH RPH” Practice Location

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