Provider Demographics
NPI:1871161281
Name:OZER BOZOGLU, GULBEN (RPH)
Entity type:Individual
Prefix:MRS
First Name:GULBEN
Middle Name:
Last Name:OZER BOZOGLU
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:295 OLYMPIA DR
Mailing Address - Street 2:
Mailing Address - City:RIVER EDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07661-1121
Mailing Address - Country:US
Mailing Address - Phone:551-587-0237
Mailing Address - Fax:
Practice Address - Street 1:295 OLYMPIA DR
Practice Address - Street 2:
Practice Address - City:RIVER EDGE
Practice Address - State:NJ
Practice Address - Zip Code:07661-1121
Practice Address - Country:US
Practice Address - Phone:551-587-0237
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-12
Last Update Date:2021-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI04124000183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist