Individual
ANJU JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6515 CASTOR AVE, PHILADELPHIA, PA 19149-2708
(215) 745-6556
Mailing address
6515 CASTOR AVE, PHILADELPHIA, PA 19149-2708
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP100485
PA
Other
Enumeration date
06/07/2014
Last updated
06/07/2014
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