Provider Demographics
NPI:1386807121
Name:EPSTEIN, JENNY (PHARMD)
Entity type:Individual
Prefix:
First Name:JENNY
Middle Name:
Last Name:EPSTEIN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:GENEVIEVE
Other - Middle Name:
Other - Last Name:EPSTEIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:19 14 TARRANT PL
Mailing Address - Street 2:APT C
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75208
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:19 14 TARRANT PL
Practice Address - Street 2:APT C
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75208-3049
Practice Address - Country:US
Practice Address - Phone:734-395-8401
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-02
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT149160-1701183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist