Steven Jacob

NPI #1114358835 in Wimauma, Florida

Provider Information

NPI Number: 1114358835
Entity Type: Individual
Name: Steven Jacob
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Dec 5, 2013
Last Updated: Dec 5, 2013

Practice Location

Address: 5207 LAKE VENICE DR
City: Wimauma
State: Florida
ZIP Code: 33598-4410
Phone: (651) 249-3727

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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