Individual
ANDREW BOULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
421 RYDERS LN, EAST BRUNSWICK, NJ 08816-2700
(732) 254-6609
Mailing address
421 RYDERS LN, EAST BRUNSWICK, NJ 08816-2700
(732) 254-6609
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03721400
NJ
Other
Enumeration date
08/12/2015
Last updated
08/12/2015
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