Provider Demographics
NPI:1033120696
Name:ELUEMUNOR, PATRICIA (RPH)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:
Last Name:ELUEMUNOR
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MRS
Other - First Name:PATRICIA
Other - Middle Name:
Other - Last Name:WHITE-THORPE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMCANDIDATE
Mailing Address - Street 1:179 FRANKLIN RD
Mailing Address - Street 2:
Mailing Address - City:DENVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07834-1505
Mailing Address - Country:US
Mailing Address - Phone:973-676-1000
Mailing Address - Fax:
Practice Address - Street 1:385 TREMONT AVE
Practice Address - Street 2:
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07018-1023
Practice Address - Country:US
Practice Address - Phone:973-676-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2011-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI020423001835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric