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NPI Code Detail

MEDICARE: ANASTASIA A KRAVCHENKO PHARMD

MEDICARE: ANASTASIA A KRAVCHENKO 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
1183500000XPharmacist65368TX

General Provider Information

NPI Number : 1376155259
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANASTASIA A KRAVCHENKO PHARMD
Provider Business Mailing Address
First Line : 8518 HERALDRY ST
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78254-2425
Country : US
Telephone Number : 210-544-2312
Fax Number :
Provider Business Practice Location Address
First Line : 7208 FM 78
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78244-1766
Country : US
Telephone Number : 210-666-0162
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2020
Last Update Date : 08/20/2020

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Directions to “ ANASTASIA A KRAVCHENKO PHARMD” Practice Location

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