JACOB MATLOCK

FORT SMITH, AR
NPI1013518877
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: AR  PD11121)
Enumeration Date2020-11-06
Last Update Date2020-11-06
Business Address
JACOB MATLOCK
2425 S ZERO ST
FORT SMITH, AR 72901-8663
Phone number: 479-646-4983
Mailing Address
JACOB MATLOCK
479745 E 1100 RD
ROLAND, OK 74954-5069
Phone number:
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