Individual
JAD ABOU RJEILY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
900 E BRISTOL ST, ELKHART, IN 46514-3624
(574) 206-8476
Mailing address
318 S ELKHART AVE APT 343, ELKHART, IN 46516-3584
(612) 806-5677
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26030729A
IN
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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