Individual
DR. BRANDON JACOBI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1705 S MAIN ST, ROSWELL, NM 88203-1873
(575) 323-9001
Mailing address
1600 N SYCAMORE AVE APT 305, ROSWELL, NM 88201-8895
(402) 415-4693
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00008992
NM
Other
Enumeration date
09/29/2018
Last updated
09/29/2018
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