Individual
ELON JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
4149 HIGHLINE BLVD, OKLAHOMA CITY, OK 73108-2103
(800) 940-9963
(405) 557-1083
Mailing address
4149 HIGHLINE BLVD, OKLAHOMA CITY, OK 73108-2103
(800) 940-9963
(405) 557-1083
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
055481
NY
183500000X
Pharmacist
Primary
13649
OK
183500000X
Pharmacist
65154
CA
Other
Enumeration date
02/22/2012
Last updated
07/09/2012
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