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NPI Code Detail

MEDICARE: DR. DMITRIY VOLOSHIN PHARMD

MEDICARE: DR. DMITRIY VOLOSHIN PHARMD
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
1183500000XPharmacist051294069IL

General Provider Information

NPI Number : 1316222995
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DMITRIY VOLOSHIN PHARMD
Provider Business Mailing Address
First Line : 336 CHICORY LN
Second Line :
City : BUFFALO GROVE
State : IL
Zip : 60089-1837
Country : US
Telephone Number : 847-361-1860
Fax Number :
Provider Business Practice Location Address
First Line : 1285 S RAND RD
Second Line :
City : LAKE ZURICH
State : IL
Zip : 60047-2960
Country : US
Telephone Number : 847-520-7220
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2011
Last Update Date : 12/31/2022

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