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Mark Ivantsov, PHD
Pharmacist in Arnold, Missouri
NPI 1033827688

Mark Ivantsov is a Pharmacist based in Saint Louis, MO. Mark Ivantsov practices in Arnold, MO and has the professional credentials of PHD. The NPI Number for Mark Ivantsov is 1033827688 and holds a License No. 2022044966 (Missouri).

The current practice location address for Mark Ivantsov is 860 Arnold Commons Dr, Arnold, MO and can be reached out via phone at 636-282-4817. You can also correspond with Mark Ivantsov through the mailing address at 5918 WOODBROOK DR, SAINT LOUIS, MO - 63129-7219 (mailing address contact number: 314-607-5056).

Location: 860 Arnold Commons Dr, Arnold, MO, 63129-7219
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033827688
Provider Name
Mark Ivantsov
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
860 Arnold Commons Dr, Arnold, MO, 63129-7219
Phone Number
636-282-4817
Fax Number
Provider Enumeration Date
11/14/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
860 Arnold Commons Dr
City
Arnold
State
Missouri
Zip
63010-2164
Phone Number
636-282-4817
Fax Number
person
Provider Business Mailing Address Details
Address
860 Arnold Commons Dr
City
Arnold
State
Missouri
Zip
63010-2164
Phone Number
636-282-4817
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
2022044966 (Missouri)
Definition
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, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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