Dr. Jenna M. Eldib, PharmD
Pharmacist in New York, NY. Individual provider (NPI-1).
NPI number1265156830
StatusActive
Last updated in NPPESSep 28, 2022
Details
- NPI
- 1265156830
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jenna M. Eldib
- Credential
- PharmD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 28, 2022
- Certification date
- Feb 1, 2022
- Last updated
- Sep 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 068311 | NY | Yes |
| 183500000X | Pharmacist | 28R104245800 | NJ |
Practice location
180 Fort Washington AveNew York, NY 10032-3722
Phone 212-305-3174 · Fax 212-305-7692
Mailing address
429 78th StBrooklyn, NY 11209-3403
Phone 646-578-6354
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