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Individual
BOGHOS YEDIKIAN
Active
Individual
BOGHOS YEDIKIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI04003300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28RI04003300
NEW JERSEY BOARD OF PHARMACY
NJ
Enumeration date
06/11/2019
Last updated
06/11/2019
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