Eduard Ilyasov
Eduard Ilyasov is a Pharmacist in Rego Park, New York. Licensed in New Jersey. Registered with an NPI since 2023.
- Licensed in
- NJ
- In the registry since
- 2023
Practice location Address checks out
9740 62nd Dr Apt 7DRego Park, NY 11374-1324
Phone: (718) 200-2852
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacist (primary) | Taxonomy 183500000X · Licence 28RI03327500 (NJ) |
|---|
Record details
| NPI number | 1770276511 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 29, 2023 |
| Last updated in NPPES | May 30, 2023 |
| Certification date | May 30, 2023 |
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