Individual
MRS. ELIZABETH JACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
220 W PARKWAY STE 4, POMPTON PLAINS, NJ 07444-1048
(800) 209-4143
Mailing address
402 W MAIN ST, BERGENFIELD, NJ 07621-1569
(201) 848-2930
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03852300
NJ
Other
Enumeration date
08/04/2017
Last updated
05/30/2020
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