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Individual
JAY B GOBLE
Active
Individual
JAY B GOBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
043715
MO
183500000X
Pharmacist
1-103431
KS
183500000X
Pharmacist
26027299A
IN
183500000X
Pharmacist
Primary
S016268
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043715
PHARMACIST LICENSE
MO
01
—
1-103431
PHARMACIST LICENSE
KS
01
—
26027299A
PHARMACIST LICENSE
IN
01
—
S016268
PHARMACIST LICENSE
AZ
Enumeration date
07/25/2017
Last updated
07/21/2022
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