Provider Demographics
NPI:1053689125
Name:PESKIN, YULIYA (PHARMACIST)
Entity type:Individual
Prefix:
First Name:YULIYA
Middle Name:
Last Name:PESKIN
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 E STREET ROAD
Mailing Address - Street 2:WALGREENS
Mailing Address - City:FEASTERVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19053
Mailing Address - Country:US
Mailing Address - Phone:215-364-4249
Mailing Address - Fax:215-357-4049
Practice Address - Street 1:2 E STREET ROAD
Practice Address - Street 2:WALGREENS
Practice Address - City:FEASTERVILLE
Practice Address - State:PA
Practice Address - Zip Code:19053
Practice Address - Country:US
Practice Address - Phone:215-364-4249
Practice Address - Fax:215-357-4049
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-05
Last Update Date:2011-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP045570L183500000X
PARPI001451183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist