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Mrs. Yelena Ivanova
Pharmacist in Kenosha, Wisconsin
NPI 1265754485

Yelena Ivanova is a Pharmacist based in Kenosha, WI. Yelena Ivanova practices in Kenosha, WI. The NPI Number for Yelena Ivanova is 1265754485 and holds a License No. 15104 (Wisconsin).

The current practice location address for Yelena Ivanova is 4100 52Nd St, Kenosha, WI and can be reached out via phone at 262-658-0902 and via fax at 262-658-0560.

Location: 4100 52Nd St, Kenosha, WI, 53144-3900
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265754485
Provider Name
Yelena Ivanova
Credential
Provider Entity Type
Individual
Gender
Female
Address
4100 52Nd St, Kenosha, WI, 53144-3900
Phone Number
262-658-0902
Fax Number
262-658-0560
Provider Enumeration Date
02/16/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
33014500 05 WI
institution
Provider Business Practice Location Address Details
Address
4100 52Nd St
City
Kenosha
State
Wisconsin
Zip
53144-3900
Phone Number
262-658-0902
Fax Number
262-658-0560
person
Provider Business Mailing Address Details
Address
4100 52Nd St
City
Kenosha
State
Wisconsin
Zip
53144-3900
Phone Number
262-658-0902
Fax Number
262-658-0560
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
15104 (Wisconsin)
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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