JAKE SHOUPPE

TALLAHASSEE, FL
NPI1053719401
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: FL  PS52748)
Enumeration Date2014-12-17
Last Update Date2014-12-17
Business Address
-- JAKE SHOUPPE
1905 HOLLY ST
TALLAHASSEE, FL 32303-4511
Phone number: 850-509-4893
Mailing Address
-- JAKE SHOUPPE
1905 HOLLY ST
TALLAHASSEE, FL 32303-4511
Phone number: