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Individual

BILLY JOBE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
917 EAST AUSTIN, NACOGDOCHES, TX 75965
(936) 564-7373
Mailing address
917 EAST AUSTIN, NACOGDOCHES, TX 75965
(936) 564-7373

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22588
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1679642250
M&S PHARMACY
TX
Enumeration date
04/17/2019
Last updated
11/27/2023
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