MR. Jacob Thomas

NPI #1114298999 in Brandon, Florida

Provider Information

NPI Number: 1114298999
Entity Type: Individual
Name: MR. Jacob Thomas
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Jan 25, 2012
Last Updated: Jan 25, 2012

Practice Location

Address: 930 PROVIDENCE RD
City: Brandon
State: Florida
ZIP Code: 33511
Phone: (813) 684-7560

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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