Provider Demographics
NPI:1659054666
Name:JARJUR, NADINE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:NADINE
Middle Name:
Last Name:JARJUR
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3263 LARKSPUR ST
Mailing Address - Street 2:
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92782-1925
Mailing Address - Country:US
Mailing Address - Phone:412-327-7856
Mailing Address - Fax:
Practice Address - Street 1:3263 LARKSPUR ST
Practice Address - Street 2:
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92782-1925
Practice Address - Country:US
Practice Address - Phone:412-327-7856
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-08
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP440893183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist