JACOB STREET

JOHNSON CITY, TN
NPI1699401877
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: TN  46488)
Enumeration Date2022-07-28
Last Update Date2022-07-28
Business Address
Dr. JACOB STREET PharmD
2240 N ROAN ST
JOHNSON CITY, TN 37601-2521
Phone number: 423-283-4942
Mailing Address
Dr. JACOB STREET PharmD
2240 N ROAN ST
JOHNSON CITY, TN 37601-2521
Phone number: 423-283-4942