Individual
JAINI JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8130 ROOSEVELT BLVD, PHILADELPHIA, PA 19152-2911
(215) 331-0160
Mailing address
8130 ROOSEVELT BLVD, PHILADELPHIA, PA 19152-2911
(215) 331-0160
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP445989
PA
Other
Enumeration date
06/05/2014
Last updated
06/05/2014
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