Mark Ivantsov, PHD

Pharmacist · Arnold, MO

Individual Active NPI

NPI number 1033827688

Practice location

860 Arnold Commons Dr
Arnold, MO 63010-2164
Phone
(636) 282-4817

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NPI record

NPI
1033827688
Entity type
Individual (Type 1)
Enumeration date
November 14, 2022
Last updated
November 14, 2022
Certified
November 13, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 2022044966 MO

Mailing address

5918 Woodbrook Dr
Saint Louis, MO 63129-7219
Phone
(314) 607-5056

About Dr. Ivantsov

Mark Ivantsov, PHD is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 860 Arnold Commons Dr, Arnold, MO 63010-2164. The NPI number 1033827688 was assigned on November 14, 2022 and the record was last updated on November 14, 2022.

Dr. Ivantsov lists a license in the registry: #2022044966 (MO) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark Ivantsov, PHD?

The NPI number is 1033827688.

What is the phone number of Dr. Ivantsov?

The phone number listed for the practice location is (636) 282-4817.

Where is Dr. Ivantsov located?

860 Arnold Commons Dr, Arnold, MO 63010-2164.

What is the taxonomy code for Dr. Ivantsov?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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