Individual
JACOB STEPHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
980 E MAIN ST, PALMYRA, PA 17078-1914
(717) 838-8878
Mailing address
2712 LISBURN RD APT 301, CAMP HILL, PA 17011-8030
(347) 866-7485
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP452160
NY
Other
Enumeration date
01/04/2018
Last updated
01/04/2018
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