PAVEL PETRUSHENKO

FARRAGUT, TN
NPI1154932010
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: TN  39648)
Enumeration Date2020-08-13
Last Update Date2020-08-13
Business Address
PAVEL PETRUSHENKO
11927 KINGSTON PIKE
FARRAGUT, TN 37934-4602
Phone number: 865-671-0932
Mailing Address
PAVEL PETRUSHENKO
1260 QUEENSTOWN WAY APT 103
KNOXVILLE, TN 37932-3183
Phone number: 814-722-5475
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