Healthcare Provider Details

I. General information

NPI: 1225823289
Provider Name (Legal Business Name): ELOH NFOUNJU NJIKAM-MCGEE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2025
Last Update Date: 04/10/2025
Certification Date: 04/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 W COOLIDGE AVE
MODESTO CA
95350-4447
US

IV. Provider business mailing address

208 W COOLIDGE AVE
MODESTO CA
95350-4447
US

V. Phone/Fax

Practice location:
  • Phone: 209-722-4842
  • Fax:
Mailing address:
  • Phone: 209-722-4842
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number90627
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: