Individual
JACOB GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
9428 DYER ST, EL PASO, TX 79924-6408
(915) 751-2494
Mailing address
9428 DYER ST, EL PASO, TX 79924-6408
(915) 751-2494
Taxonomy
Speciality
Code
Description
License number
State
1835C0205X
Critical Care Pharmacist
Primary
67653
TX
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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