Individual
TIFFANY JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
327 KY ROUTE 550, EASTERN, KY 41622-6925
(606) 358-4800
Mailing address
PO BOX 2, GARRETT, KY 41630-0002
(606) 226-3641
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
017215
KY
Other
Enumeration date
02/14/2021
Last updated
02/14/2021
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