Individual provider · Type 1 NPI

Ivan Dobrichkov

Pharmacist · St. Louis, MO

NPI number 1063998656 Active

Practice location

11420 Lackland Rd
St. Louis, MO 63146-3559

Mailing address

134 Saint Marys Dr
Ballwin, MO 63021-8846

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000X051.300649 (IL)
Pharmacist Primary 183500000X2017026878 (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 1063998656

Ivan Dobrichkov's National Provider Identifier is 1063998656, issued on Jul 17, 2018. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in St. Louis, MO. The record was last updated on Jul 17, 2018.