MR. Randall Charles Jacob
NPI #1083914691 in Picayune, Mississippi
Provider Information
- NPI Number
- 1083914691
- Entity Type
- Individual
- Name
- MR. Randall Charles Jacob
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Enumeration Date
- Oct 29, 2010
- Last Updated
- Oct 29, 2010
Practice Location
- Address
- 1505 HIGHWAY 43 S
- City
- Picayune
- State
- Mississippi
- ZIP Code
- 39466-9297
- Phone
- (601) 889-9509
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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