Individual
DR. ILOMANI YADGAROV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
312 GLENWOOD AVENUE, BLOOMFIELD, NJ 07003-5712
(973) 743-3300
(973) 743-3303
Mailing address
312 GLENWOOD AVENUE, BLOOMFIELD, NJ 07003-5712
(973) 743-3300
(973) 743-3303
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03255500
NJ
1835P1200X
Pharmacotherapy Pharmacist
28RI03255500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06581085
—
NJ
Enumeration date
09/16/2010
Last updated
08/10/2022
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