Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PAVEL PETRUSHENKO
ActivePAVEL PETRUSHENKO is a Pharmacist healthcare provider located in FARRAGUT, Tennessee. NPI 1154932010 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · FARRAGUT, TN
Registration Details
- NPI Number
- 1154932010
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 13, 2020 (6.0222433909554 yrs)
- Last Updated
- Aug 13, 2020
- License
-
39648 (TN)
Practice Information
- Address
-
11927 KINGSTON PIKEFARRAGUT, TN, 379344602Browse TN providers · Browse ZIP 37934
- Phone
- 8656710932
- Fax
- 8656710964
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in FARRAGUT, TN
| Name | Credential | NPI |
|---|---|---|
| DR. JESSICA NICOLE WILSON | PHARM.D. | 1871724930 |
| DAVID LAWRENCE WALLACE JR. | — | 1952609539 |
| DR. ALVIN L LIPPS | D.PH. | 1912205550 |
| MRS. TARANEH RAHMANIAN | PRH | 1750662334 |
| ATIT UTTAMBHAI PATEL | — | 1578845780 |
| JAMES CARTER | RPH | 1134404890 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.