Individual
BOGHOS YEDIKIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
341 BROAD AVE, PALISADES PARK, NJ 07650-1656
(201) 944-2720
Mailing address
197 OXFORD RD, CHESTER, NY 10918-4406
(201) 994-9651
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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