Mark Jakubowski

NPI #1447654728 in Ronkonkoma, New York

Provider Information

NPI Number: 1447654728
Entity Type: Individual
Name: Mark Jakubowski
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Oct 15, 2014
Last Updated: Oct 15, 2014

Practice Location

Address: 73 PORT AVE
City: Ronkonkoma
State: New York
ZIP Code: 11779-5929
Phone: (631) 647-0113

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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