Mario Abner Salazar Jacob, PHARMD

NPI #1215447016 in Brookhaven, Georgia

Provider Information

NPI Number: 1215447016
Entity Type: Individual
Name: Mario Abner Salazar Jacob, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Oct 5, 2017
Last Updated: Oct 5, 2017

Practice Location

Address: 500 BROOKHAVEN AVE NE
City: Brookhaven
State: Georgia
ZIP Code: 30319-3291
Phone: (404) 460-1924

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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