Provider Demographics
NPI:1669744603
Name:VOITSEKHOVITCH, NIKOLAI (PHARMD)
Entity type:Individual
Prefix:DR
First Name:NIKOLAI
Middle Name:
Last Name:VOITSEKHOVITCH
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 1:3900 WADSWORTH BLVD
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-4615
Mailing Address - Country:US
Mailing Address - Phone:303-456-2670
Mailing Address - Fax:
Practice Address - Street 1:3900 WADSWORTH BLVD
Practice Address - Street 2:
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-4615
Practice Address - Country:US
Practice Address - Phone:303-456-2670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-07
Last Update Date:2012-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO19333183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist