Individual
JIBI PHILIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
186 LARCH AVE, DUMONT, NJ 07628-1327
(201) 290-4107
Mailing address
186 LARCH AVE, DUMONT, NJ 07628-1327
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
063648
NY
Other
Enumeration date
06/04/2020
Last updated
06/04/2020
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