Provider Demographics
NPI:1275137424
Name:SHCHERBYUK, VIRA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:VIRA
Middle Name:
Last Name:SHCHERBYUK
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1820 N 79TH AVE
Mailing Address - Street 2:
Mailing Address - City:ELMWOOD PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60707-3507
Mailing Address - Country:US
Mailing Address - Phone:773-396-3106
Mailing Address - Fax:
Practice Address - Street 1:6748 ROOSEVELT RD
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60304-2027
Practice Address - Country:US
Practice Address - Phone:708-358-7791
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-29
Last Update Date:2020-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051293856183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist