Organization
JACOB'S DISCOUNT PHARMACY, INC.
Active
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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