MEDICARE: OKSANA ZATUCHNY

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	28RI03344300	NJ

General Provider Information

NPI Number	:	1912280736
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OKSANA ZATUCHNY

Provider Business Mailing Address
First Line	:	42 MAGNOLIA WAY
Second Line	:
City	:	NORTH HALEDON
State	:	NJ
Zip	:	07508-3113
Country	:	US
Telephone Number	:	201-921-2400
Fax Number	:

Provider Business Practice Location Address
First Line	:	42 MAGNOLIA WAY
Second Line	:
City	:	NORTH HALEDON
State	:	NJ
Zip	:	07508-3113
Country	:	US
Telephone Number	:	201-921-2400
Fax Number	:

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

Provider Enumeration Date	:	09/28/2011
Last Update Date	:	09/28/2011

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