Provider Demographics
NPI:1639770324
Name:STOIANOV, VLADIMIR (PHARMD)
Entity Type:Individual
Prefix:
First Name:VLADIMIR
Middle Name:
Last Name:STOIANOV
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 1:19101 117TH PL SE
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98058-7201
Mailing Address - Country:US
Mailing Address - Phone:425-235-5579
Mailing Address - Fax:
Practice Address - Street 1:27130 172ND AVE SE
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:WA
Practice Address - Zip Code:98042-4940
Practice Address - Country:US
Practice Address - Phone:253-630-6791
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-08
Last Update Date:2020-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61064330183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist