| NPI | 1346860095 |
|---|---|
| Doing Business As | ART JACOB PRESCRIPTION SHOPPE |
| Entity Type | Organization |
| Authorized Contact | JAMES COREY STARK Owner 502-897-6591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2020-04-23 |