Individual
JACOB RYAN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
BLDG 50 FARENHOLT AVENUE, AGANA HEIGHTS, GU 96910
(671) 344-9340
Mailing address
PSC 455 BOX 208, FPO, AP 96540-0003
(671) 344-9340
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202219751
VA
Other
Enumeration date
09/29/2021
Last updated
02/06/2025
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