National Provider Identifier

John Dmytrenko

John Dmytrenko is listed in the NPPES registry with a primary specialty of Pharmacist in Geneva, NY and a listed phone number of (315) 781-2325.

NPI 1588986467Geneva, NYPharmacist

Profile Overview

NPI
1588986467
Provider Type
Individual
Primary Specialty
Pharmacist
Enumeration Date
February 19, 2010
Last Updated
February 19, 2010

Practice Location

  • 990 Route 5 And 20
  • Geneva, NY 14456-9543

Phone: (315) 781-2325

Mailing Address

  • 3487 Brick Church RD
  • Union Springs, NY 13160

Specialties

  • Pharmacist (183500000X)
Full Record
NPI
1588986467
Entity Type
Individual
Last Name
Dmytrenko
First Name
John
Mailing Street Address
3487 Brick Church RD
Mailing City
Union Springs
Mailing State
NY
Mailing ZIP Code
13160
Mailing Country
US
Mailing Phone
(315) 364-7955
Practice Street Address
990 Route 5 And 20
Practice City
Geneva
Practice State
NY
Practice ZIP Code
14456-9543
Practice Country
US
Practice Phone
(315) 781-2325
Enumeration Date
February 19, 2010
Last Updated
February 19, 2010
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pharmacist (183500000X)