Prusakov, Pavel Aleksandrovich

Prusakov, Pavel Aleksandrovich is an sole proprietor health care provider with primary practice located at 700 Childrens Dr , Columbus OH 43205-2639. He recently has only one registered license in Pharmacy Service Providers / Pediatrics, which is considered as his primary health care specialty. Prusakov, Pavel Aleksandrovich can be contacted via phone (614) 722-6063.

Contact Information

Primary practice address
700 Childrens Dr Columbus OH 43205-2639
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pediatrics 1835P0200X 03334836 Ohio

Profile Details

NPI number 1871161307
LBN Legal business name Prusakov, Pavel Aleksandrovich
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 11th, 2021
Last updated Jun 11th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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