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Contact Information

PAVEL A PRUSAKOV, PHARM.D.
700 CHILDRENS DR
COLUMBUS, OH43205-2639
 Phone: 614-722-6063
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

1835P0200X
Indicates primary specialty

NPI Profile & details for PAVEL A PRUSAKOV · (Male)

NPI Number 1871161307
Status Active
Credentials PHARM.D. (Doctor of Pharmacy)
Entity Individual
Enumeration date 06/11/2021
Last updated 06/11/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # 03334836
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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