Individual
JACOB PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
6680 ATLANTA HWY, MONTGOMERY, AL 36117-4240
(334) 409-0611
Mailing address
6680 ATLANTA HWY, MONTGOMERY, AL 36117-4240
(334) 409-0611
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20529
AL
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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