Individual
JACOB ALAN DONALDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1608 W MAGNOLIA AVE, GENEVA, AL 36340-1237
(334) 684-3280
Mailing address
1608 W MAGNOLIA AVE, GENEVA, AL 36340-1237
(334) 684-3280
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13013
AL
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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