Provider Demographics
NPI:1669768032
Name:MURDOCK, JENIMARI NICOLE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JENIMARI
Middle Name:NICOLE
Last Name:MURDOCK
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 1:345 HAHANI ST
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-2838
Mailing Address - Country:US
Mailing Address - Phone:808-489-9320
Mailing Address - Fax:808-489-9330
Practice Address - Street 1:345 HAHANI ST
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-2838
Practice Address - Country:US
Practice Address - Phone:808-489-9320
Practice Address - Fax:808-489-9330
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-23
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPH-2853183500000X
AZS016770183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist