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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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