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1205438793
RENITA D JACOBS
RUSSELLVILLE, KY
NPI
1205438793
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: KY 011226)
Enumeration Date
2020-11-10
Last Update Date
2020-11-10
Business Address
RENITA D JACOBS
120 SAM WALTON DR
RUSSELLVILLE, KY 42276-9311
Phone number: 270-726-2966
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Mailing Address
RENITA D JACOBS
8764 PALMYRA RD
HOPKINSVILLE, KY 42240-9147
Phone number: 270-348-2734
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