Individual
JACQUELINE DELA PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2000
Mailing address
2716 NEWTOWN AVE APT 2F, ASTORIA, NY 11102-4862
Taxonomy
Speciality
Code
Description
License number
State
1835X0200X
Oncology Pharmacist
Primary
069303
NY
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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