Provider Demographics
NPI:1982904488
Name:EISENBERG, NEAL NONE (BS PHARM)
Entity Type:Individual
Prefix:MR
First Name:NEAL
Middle Name:NONE
Last Name:EISENBERG
Suffix:
Gender:M
Credentials:BS PHARM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4500 COFFEE RD
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93308-5025
Mailing Address - Country:US
Mailing Address - Phone:661-589-1484
Mailing Address - Fax:661-589-7621
Practice Address - Street 1:4500 COFFEE RD
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93308-5025
Practice Address - Country:US
Practice Address - Phone:661-589-1484
Practice Address - Fax:661-589-7621
Is Sole Proprietor?:No
Enumeration Date:2010-10-30
Last Update Date:2010-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH32215183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist