Individual
MRS. JEAN M ABDOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
348 CRESCENT DR, FRANKLIN LAKES, NJ 07417-1600
(201) 321-3276
Mailing address
136 CENTRAL AVE, CLARK, NJ 07066-1142
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
28RI02687700
NJ
1835G0303X
Geriatric Pharmacist
28RI02687700
NJ
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
28RI02687700
NJ
1835P1200X
Pharmacotherapy Pharmacist
28RI02687700
NJ
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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