Stephanie Susan Jacob, PHARMD

NPI #1972118032 in Austin, Texas

Provider Information

NPI Number: 1972118032
Entity Type: Individual
Name: Stephanie Susan Jacob, PHARMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Sep 14, 2020
Last Updated: Sep 14, 2020

Practice Location

Address: 2213 AIRPORT BLVD
City: Austin
State: Texas
ZIP Code: 78722-1404
Phone: (512) 993-3994

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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