Individual
JACQUELINE B EISSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
47 E 31ST ST APT 2, BAYONNE, NJ 07002-4706
(201) 844-5317
Mailing address
1561 JOHN F KENNEDY BLVD, JERSEY CITY, NJ 07305-1721
(201) 332-4668
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI04364600
NJ
Other
Enumeration date
04/11/2024
Last updated
04/11/2024
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