Individual
DR. AMANDA JACOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
100 W DEAN KEETON ST, SSB1.110, AUSTIN, TX 78712-1091
(512) 471-1824
(512) 475-2818
Mailing address
100 W DEAN KEETON ST, SSB1.110, AUSTIN, TX 78712-1091
(512) 471-1824
(512) 475-2818
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
55234
TX
Other
Enumeration date
05/02/2016
Last updated
05/02/2016
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