Individual
ALVIN C JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
135 S LIBERTY DR, STONY POINT, NY 10980-2422
(845) 786-2063
Mailing address
135 S LIBERTY DR, STONY POINT, NY 10980-2422
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0562371
NY
Other
Enumeration date
12/01/2011
Last updated
12/01/2011
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