Individual
HENRIETTA ANNE JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3001 S SAINT FRANCIS DR, SANTA FE, NM 87505-6964
(505) 992-8638
Mailing address
3001 S SAINT FRANCIS DR, SANTA FE, NM 87505-6964
(505) 992-8638
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00008173
NM
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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