Provider Demographics
NPI:1558575431
Name:KHRAPKO, IGOR (PHARMD)
Entity Type:Individual
Prefix:
First Name:IGOR
Middle Name:
Last Name:KHRAPKO
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 1:1944 BERGEN AVE
Mailing Address - Street 2:APT 2A
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-5821
Mailing Address - Country:US
Mailing Address - Phone:718-781-6783
Mailing Address - Fax:
Practice Address - Street 1:953 PENNSYLVANIA AVE
Practice Address - Street 2:FAIRFIELD PHARMACY
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11207
Practice Address - Country:US
Practice Address - Phone:718-395-9400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2013-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY050434183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist