Provider Demographics
NPI:1740657022
Name:PINDROH, JENNIFER (PHARMD)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:PINDROH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:JEN
Other - Middle Name:
Other - Last Name:FUCHS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:902 AIRPORT RD
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78405-3513
Mailing Address - Country:US
Mailing Address - Phone:361-844-7667
Mailing Address - Fax:631-844-7939
Practice Address - Street 1:902 AIRPORT RD # RF
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78405-3513
Practice Address - Country:US
Practice Address - Phone:361-844-7667
Practice Address - Fax:361-844-7939
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-21
Last Update Date:2015-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX52681183500000X
PARP438616183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist