Provider Demographics
NPI:1346958634
Name:CHUBKO, TETYANA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:TETYANA
Middle Name:
Last Name:CHUBKO
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 1:439 FINLEY AVE
Mailing Address - Street 2:
Mailing Address - City:CARNEGIE
Mailing Address - State:PA
Mailing Address - Zip Code:15106-3417
Mailing Address - Country:US
Mailing Address - Phone:412-760-0439
Mailing Address - Fax:
Practice Address - Street 1:2055 OLD WASHINGTON PIKE
Practice Address - Street 2:
Practice Address - City:CARNEGIE
Practice Address - State:PA
Practice Address - Zip Code:15106-3741
Practice Address - Country:US
Practice Address - Phone:412-429-3601
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-07
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP457332183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist