Jacob Dallas PHARMD

NPI 1619256286 - Pharmacist - 183500000X

NPI Details
NPI 1619256286
Gender Male
Enumeration Date 08/12/2011
Last Updated 08/12/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
705 E MCDOWELL RD
PHOENIX AZ, 85006-2519, US
Phone (602) 258-4865
Fax
Business Location
1100 N PRIEST DR
APT. 2024
CHANDLER AZ, 85226-1004, US
Phone (314) 805-7586
Fax
Toxanomy
Taxonomy Code 183500000X
License State Arizona
License Number S018634
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According to our database, Dr. Jacob Dallas PHARMD NPI is 1619256286, taxonomy code is 183500000X and license number is S018634, license state is located at Arizona. Jacob Dallas PHARMD physically located at 705 E Mcdowell Rd, Phoenix AZ, 85006-2519. NPI Number Jacob Dallas PHARMD has the Individual type.

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1619256286 NPI number is provided on an as is basis without warranty of any kind. 1619256286 is maintained by the National Plan & Provider Enumeration System. The contents of Jacob Dallas PHARMD are for informational purposes only.