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1699294868
JACOB SAMUEL LOPEZ
GRANTS PASS, OR
NPI
1699294868
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: OR 0016203)
Enumeration Date
2017-09-19
Last Update Date
2017-09-19
Business Address
Dr. JACOB SAMUEL LOPEZ RPh
111 UNION AVE
GRANTS PASS, OR 97527-5579
Phone number: 541-471-4873
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Mailing Address
Dr. JACOB SAMUEL LOPEZ RPh
111 UNION AVE
GRANTS PASS, OR 97527-5579
Phone number: 541-471-4873
Copy
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