Provider Demographics
NPI:1316222995
Name:VOLOSHIN, DMITRIY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DMITRIY
Middle Name:
Last Name:VOLOSHIN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:336 CHICORY LN
Mailing Address - Street 2:
Mailing Address - City:BUFFALO GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60089-1837
Mailing Address - Country:US
Mailing Address - Phone:847-361-1860
Mailing Address - Fax:
Practice Address - Street 1:1285 S RAND RD
Practice Address - Street 2:
Practice Address - City:LAKE ZURICH
Practice Address - State:IL
Practice Address - Zip Code:60047-2960
Practice Address - Country:US
Practice Address - Phone:847-520-7220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-14
Last Update Date:2022-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051294069183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist