Evgueni Kovaltchouk, PHARMD

Pharmacist · Bloomfield, NJ

Individual Active NPI

NPI number 1265781405

Practice location

1049 Broad St
Bloomfield, NJ 07003-2896
Phone
(973) 338-7300
Fax
(973) 338-4520

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NPI record

NPI
1265781405
Entity type
Individual (Type 1)
Enumeration date
September 4, 2012
Last updated
August 21, 2020
Certified
August 21, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 28RI03516100 NJ

About Dr. Kovaltchouk

Evgueni Kovaltchouk, PHARMD is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 1049 Broad St, Bloomfield, NJ 07003-2896. The NPI number 1265781405 was assigned on September 4, 2012 and the record was last updated on August 21, 2020.

Dr. Kovaltchouk lists a license in the registry: #28RI03516100 (NJ) 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 Evgueni Kovaltchouk, PHARMD?

The NPI number is 1265781405.

What is the phone number of Dr. Kovaltchouk?

The phone number listed for the practice location is (973) 338-7300.

Where is Dr. Kovaltchouk located?

1049 Broad St, Bloomfield, NJ 07003-2896.

What is the taxonomy code for Dr. Kovaltchouk?

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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