Individual
JACOB COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1107 N ROAN ST, JOHNSON CITY, TN 37601-3901
(423) 926-7333
Mailing address
1107 N ROAN ST, JOHNSON CITY, TN 37601-3901
(423) 926-7333
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
40414
TN
Other
Enumeration date
10/26/2018
Last updated
10/26/2018
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