Individual
BUSHRA BOFAHREDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4301 MAPLE AVE UNIT A, PENNSAUKEN, NJ 08109-1818
(856) 320-2609
Mailing address
4301 MAPLE AVE UNIT A, PENNSAUKEN, NJ 08109-1818
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
28RS00736300
NJ
Other
Enumeration date
10/15/2014
Last updated
10/15/2014
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