Individual
ESTHER CHARLES JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 FIFTH STREET, LYNCHBURG, VA 24504
(434) 845-2222
Mailing address
66 MALLARD LN, LYNCHBURG, VA 24502-1152
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202216478
VA
Other
Enumeration date
03/06/2018
Last updated
03/06/2018
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