Renita D Jacobs

NPI #1205438793 in Russellville, Kentucky

Provider Information

NPI Number: 1205438793
Entity Type: Individual
Name: Renita D Jacobs
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Nov 10, 2020
Last Updated: Nov 10, 2020

Practice Location

Address: 120 SAM WALTON DR
City: Russellville
State: Kentucky
ZIP Code: 42276-9311
Phone: (270) 726-2966

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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