Provider Demographics
NPI:1063987311
Name:KRICHEVSKY, ARTHUR (PHARM D)
Entity type:Individual
Prefix:
First Name:ARTHUR
Middle Name:
Last Name:KRICHEVSKY
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2019 ALFRED AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-3536
Mailing Address - Country:US
Mailing Address - Phone:314-740-7185
Mailing Address - Fax:314-485-2347
Practice Address - Street 1:941 MIDLAND BLVD
Practice Address - Street 2:
Practice Address - City:UNIVERSITY CITY
Practice Address - State:MO
Practice Address - Zip Code:63130-3038
Practice Address - Country:US
Practice Address - Phone:314-390-1616
Practice Address - Fax:314-485-2347
Is Sole Proprietor?:No
Enumeration Date:2018-10-12
Last Update Date:2018-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2016026639183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist