Jacob Matlock
NPI #1013518877 in Fort Smith, Arkansas
Provider Information
- NPI Number
- 1013518877
- Entity Type
- Individual
- Name
- Jacob Matlock
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Enumeration Date
- Nov 6, 2020
- Last Updated
- Nov 6, 2020
Practice Location
- Address
- 2425 S ZERO ST
- City
- Fort Smith
- State
- Arkansas
- ZIP Code
- 72901-8663
- Phone
- (479) 646-4983
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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