IndividualActive
Alex Goncharuk
NPI 1174412324 · Pharmacist · Medina, OH
Provider details
- NPI number
- 1174412324
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 03445507 (OH)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
1105 N Court St
Medina, OH 44256-1521
Phone: (330) 952-9610
Approximate (ZIP-level) locationGet directions
Mailing address
1105 N Court St
Medina, OH 44256-1521
Registry dates
- Enumerated
- 2025-07-01
- Last updated
- 2025-07-01
- Certified
- 2025-07-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.