Individual
BIJAN CHIMERE MEKOBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, MS, 340B ACE
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(646) 629-9771
Mailing address
74 PALISADE AVE APT 3, JERSEY CITY, NJ 07306-1118
(908) 875-9916
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
063081-1
NY
183500000X
Pharmacist
25265
NC
1835P2201X
Ambulatory Care Pharmacist
063081-1
NY
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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