Provider Demographics
NPI:1134724552
Name:KRASNOPOLSKIY, ARTUR
Entity type:Individual
Prefix:
First Name:ARTUR
Middle Name:
Last Name:KRASNOPOLSKIY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 PARKVIEW DR APT 1406
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-2868
Mailing Address - Country:US
Mailing Address - Phone:718-314-3282
Mailing Address - Fax:
Practice Address - Street 1:3700 NW 199TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33055-1444
Practice Address - Country:US
Practice Address - Phone:305-430-9170
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-02
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS42731183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist