Provider Demographics
NPI:1457009110
Name:ILYIN, JULIA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:
Last Name:ILYIN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 HARNESS LN
Mailing Address - Street 2:
Mailing Address - City:MARLBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:07746-2310
Mailing Address - Country:US
Mailing Address - Phone:347-248-5086
Mailing Address - Fax:
Practice Address - Street 1:24 HARNESS LN
Practice Address - Street 2:
Practice Address - City:MARLBORO
Practice Address - State:NJ
Practice Address - Zip Code:07746-2310
Practice Address - Country:US
Practice Address - Phone:347-248-5086
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-12
Last Update Date:2022-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02850600183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist