Individual
DR. CODY ALLEN JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2171 S HIGHLAND AVE, JACKSON, TN 38301-7739
(731) 427-2683
Mailing address
9 RIDGEHAVEN DR APT D, JACKSON, TN 38305-6133
(731) 358-4326
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
41181
TN
Other
Enumeration date
02/08/2018
Last updated
02/08/2018
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