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Individual

DR. AMANDA KRISTEN JACOBS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
2707 CELANESE RD, ROCK HILL, SC 29732-9406
(803) 366-4157
Mailing address
4128 HOFFMEISTER DR, WAXHAW, NC 28173-7045
(704) 989-7751

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13747
SC
183500000X
Pharmacist
22849
NC

Other

Enumeration date
08/16/2012
Last updated
08/16/2012
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