Individual
BOGDAN YAVORENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
10915 BELLEVILLE RD, VAN BUREN TWP, MI 48111-1386
(734) 697-4000
Mailing address
10915 BELLEVILLE RD, VAN BUREN TWP, MI 48111-1386
(734) 697-4000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302038894
MI
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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