Individual
KENNETH J EISENSTOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
704 BROADMOOR DR, BLUE BELL, PA 19422
(610) 313-2313
Mailing address
704 BROADMOOR DR, BLUE BELL, PA 19422
(610) 313-2313
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
RP03011L
PA
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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