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Organization

JACOB'S DISCOUNT PHARMACY, INC.

Active
Other names
Jacob's Discount Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
RAGAE MOAWAD RPH (MANAGER)
(412) 799-3943
Entity
Organization

Contact information

Practice address
8118 LONG POINT RD, HOUSTON, TX 77055-2006
(713) 469-3502
(713) 469-3505
Mailing address
8118 LONG POINT RD, HOUSTON, TX 77055-2006
(713) 469-3502
(713) 469-3505

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28735
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
146896
TX
01
2143730
PK
Enumeration date
01/13/2014
Last updated
10/25/2016
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