Individual
CARLY JACOBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 E UNIVERSITY DR, AUBURN, AL 36830-7728
(334) 502-2416
Mailing address
563 E UNIVERSITY DR, AUBURN, AL 36830-6871
(803) 840-8412
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21125
AL
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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