Provider Demographics
NPI:1851691869
Name:STARHOVSKA, ELENA GUEORGUIENA (BACHELOR OF PHARMACY)
Entity Type:Individual
Prefix:MRS
First Name:ELENA
Middle Name:GUEORGUIENA
Last Name:STARHOVSKA
Suffix:
Gender:F
Credentials:BACHELOR OF PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2555 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:OAKLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94561
Mailing Address - Country:US
Mailing Address - Phone:925-625-7440
Mailing Address - Fax:925-625-1303
Practice Address - Street 1:2555 MAIN STREET
Practice Address - Street 2:
Practice Address - City:OAKLEY
Practice Address - State:CA
Practice Address - Zip Code:94561
Practice Address - Country:US
Practice Address - Phone:925-625-7440
Practice Address - Fax:925-625-1303
Is Sole Proprietor?:No
Enumeration Date:2010-10-25
Last Update Date:2010-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA64044183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist