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1871161307
PAVEL ALEKSANDROVICH PRUSAKOV
COLUMBUS, OH
NPI
1871161307
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1835P0200X Pharmacist, Pediatrics
(Licence: OH 03334836)
Enumeration Date
2021-06-11
Last Update Date
2021-06-11
Business Address
PAVEL ALEKSANDROVICH PRUSAKOV PharmD
700 CHILDRENS DR
COLUMBUS, OH 43205-2639
Phone number: 614-722-6063
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Mailing Address
PAVEL ALEKSANDROVICH PRUSAKOV PharmD
700 CHILDRENS DR
COLUMBUS, OH 43205-2639
Phone number: 614-722-6063
Copy
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