Individual
JENINE C ISA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
335 SE 8TH AVE, HILLSBORO, OR 97123-4246
(201) 665-4773
Mailing address
335 SE 8TH AVE, HILLSBORO, OR 97123-4246
(201) 665-4773
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0013401
OR
Other
Enumeration date
02/19/2013
Last updated
02/19/2013
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