DR. Diana Rachel Jacob, PHARM.D

NPI #1619257342 in Selden, New York

Provider Information

NPI Number: 1619257342
Entity Type: Individual
Name: DR. Diana Rachel Jacob, PHARM.D
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARM.D
Enumeration Date: Aug 25, 2011
Last Updated: Aug 25, 2011

Practice Location

Address: 655 MIDDLE COUNTRY RD
City: Selden
State: New York
ZIP Code: 11784-2520
Phone: (631) 974-6121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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