Individual
JACOB GARRISON PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD.
Contact information
Practice address
4151 E HIGHWAY 90, SIERRA VISTA, AZ 85635-2425
(520) 452-7929
Mailing address
1201 COLOMBO AVE, APT. # 7103, SIERRA VISTA, AZ 85635-5300
(608) 886-3591
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16942-40
WI
183500000X
Pharmacist
S019623
AZ
Other
Enumeration date
02/01/2013
Last updated
02/01/2013
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