Provider Demographics
NPI:1134436280
Name:CHARKOWSKE, YEVGENIYA V (PHARMD)
Entity type:Individual
Prefix:
First Name:YEVGENIYA
Middle Name:V
Last Name:CHARKOWSKE
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 1:20922 39TH WAY S APT C-302
Mailing Address - Street 2:
Mailing Address - City:SEATAC
Mailing Address - State:WA
Mailing Address - Zip Code:98198-4269
Mailing Address - Country:US
Mailing Address - Phone:517-648-2032
Mailing Address - Fax:
Practice Address - Street 1:20922 39TH WAY S APT C302
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:WA
Practice Address - Zip Code:98198-4269
Practice Address - Country:US
Practice Address - Phone:517-648-2032
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-10
Last Update Date:2010-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60168160183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist