Provider Demographics
NPI:1942918388
Name:BLIGH, YULIA (PHARMD)
Entity Type:Individual
Prefix:
First Name:YULIA
Middle Name:
Last Name:BLIGH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:YULIA
Other - Middle Name:
Other - Last Name:GUSARINA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:56 E MOCKINGBIRD WAY
Mailing Address - Street 2:
Mailing Address - City:GALLOWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08205-6205
Mailing Address - Country:US
Mailing Address - Phone:609-385-6993
Mailing Address - Fax:
Practice Address - Street 1:6818 TILTON RD
Practice Address - Street 2:
Practice Address - City:EGG HARBOR TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08234
Practice Address - Country:US
Practice Address - Phone:609-645-2902
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-14
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03573800183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist