Individual
DARREN R JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
917 DECATUR PIKE, ATHENS, TN 37303-3037
(423) 744-1085
(423) 744-1084
Mailing address
917 DECATUR PIKE, ATHENS, TN 37303-3037
(423) 744-1085
(423) 744-1084
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8045
TN
183500000X
Pharmacist
RPH026287
GA
Other
Enumeration date
01/24/2013
Last updated
01/24/2013
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