Provider Demographics
NPI:1770187999
Name:TRINDLE, JONNA (RPH, PHARMD)
Entity Type:Individual
Prefix:
First Name:JONNA
Middle Name:
Last Name:TRINDLE
Suffix:
Gender:F
Credentials:RPH, PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 WHITE HORSE PIKE
Mailing Address - Street 2:
Mailing Address - City:OAKLYN
Mailing Address - State:NJ
Mailing Address - Zip Code:08107-1468
Mailing Address - Country:US
Mailing Address - Phone:856-869-3060
Mailing Address - Fax:
Practice Address - Street 1:4 WHITE HORSE PIKE
Practice Address - Street 2:
Practice Address - City:OAKLYN
Practice Address - State:NJ
Practice Address - Zip Code:08107-1468
Practice Address - Country:US
Practice Address - Phone:856-869-3060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-29
Last Update Date:2020-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03979500183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist