Individual
JUSTIN S JACOBS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6580 FM 78, SAN ANTONIO, TX 78244-1300
(210) 666-2121
Mailing address
401 HOLLAND AVE APT 130, SAN ANTONIO, TX 78212-2427
(530) 908-5347
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
310877
TX
Other
Enumeration date
09/17/2021
Last updated
12/01/2023
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