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1699401877
JACOB STREET
JOHNSON CITY, TN
NPI
1699401877
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: TN 46488)
Enumeration Date
2022-07-28
Last Update Date
2022-07-28
Business Address
Dr. JACOB STREET PharmD
2240 N ROAN ST
JOHNSON CITY, TN 37601-2521
Phone number: 423-283-4942
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Mailing Address
Dr. JACOB STREET PharmD
2240 N ROAN ST
JOHNSON CITY, TN 37601-2521
Phone number: 423-283-4942
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