DR. Jacob Dallas, PHARMD

NPI #1619256286 in Phoenix, Arizona

Provider Information

NPI Number: 1619256286
Entity Type: Individual
Name: DR. Jacob Dallas, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Aug 12, 2011
Last Updated: Aug 12, 2011

Practice Location

Address: 705 E MCDOWELL RD
City: Phoenix
State: Arizona
ZIP Code: 85006-2519
Phone: (602) 258-4865

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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