Yadgarov, Ilomani

Yadgarov, Ilomani is an individual health care provider with primary practice located at 312 Glenwood Avenue , Bloomfield NJ 07003-5712. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacotherapy. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Yadgarov, Ilomani can be contacted via phone (973) 743-3300.

Contact Information

Primary practice address
312 Glenwood Avenue Bloomfield NJ 07003-5712
Phone: (973) 743-3300
Fax: (973) 743-3303
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 28RI03255500 New Jersey
Pharmacy Service Providers / Pharmacotherapy 1835P1200X 28RI03255500 New Jersey

Profile Details

NPI number 1699083394
LBN Legal business name Yadgarov, Ilomani
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2010
Last updated Aug 10th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699083394 NPPES
New Jersey MEDICAID 06581085

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