Individual provider · Type 1 NPI

Mark Ivantsov, PhD

Pharmacist · Arnold, MO

NPI number 1033827688 Active

Practice location

860 Arnold Commons Dr
Arnold, MO 63010-2164

Mailing address

5918 Woodbrook Dr
St. Louis, MO 63129-7219

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X2022044966 (MO)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1033827688

Mark Ivantsov, PhD's National Provider Identifier is 1033827688, issued on Nov 14, 2022. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Arnold, MO. The record was last updated on Nov 14, 2022.