Most Relevant Information
Provider Data
| NPI Number: | 1003233495 |
| Provider Name: | JACQUELINE NAKHLA |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 28RI02219300 |
Most Important Dates
| Enumeration Date: | 03/24/2014 |
| Last Updated: | 03/24/2014 |
Provider Practice Location
339 PASSAIC ST
PASSAIC
NJ
070555818
Practice Location Phone/Fax
| Phone: | 9734710160 |
| Fax: |
Provider Mailing Location
339 PASSAIC ST
PASSAIC
NJ
070555818
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |