Provider Demographics
NPI:1164769196
Name:SALKOV, NATALYA A (CPHT-R)
Entity Type:Individual
Prefix:MRS
First Name:NATALYA
Middle Name:A
Last Name:SALKOV
Suffix:
Gender:F
Credentials:CPHT-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12329 EASTCOVE DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32826-3603
Mailing Address - Country:US
Mailing Address - Phone:407-733-5877
Mailing Address - Fax:
Practice Address - Street 1:6918 ALOMA AVE
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-7003
Practice Address - Country:US
Practice Address - Phone:407-671-0003
Practice Address - Fax:407-671-5709
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-10
Last Update Date:2013-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRPT26569183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician