Organization
JACOBS PHARMACY INC
Active
Organization
JACOBS PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADA ALBERTO GONZALEZ (PRESIDENT)
(786) 953-5643
Entity
Organization
Contact information
Practice address
261 WESTWARD DR, SUITE 115-116, MIAMI SPRINGS, FL 33166-5290
(786) 953-5643
(786) 953-5644
Mailing address
261 WESTWARD DR, SUITE 115 -116, MIAMI SPRINGS, FL 33166-5290
(786) 953-5643
(786) 953-5644
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH23544
FL
Other
Enumeration date
08/26/2008
Last updated
04/20/2009
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