JACOB SANDOVAL

WHITERIVER, AZ
NPI1932973096
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: AZ  S025338)
Enumeration Date2023-11-09
Last Update Date2023-11-09
Business Address
JACOB SANDOVAL PharmD
200 W HOSPITAL DRIVE
WHITERIVER, AZ 85941
Phone number: 928-338-4911
Mailing Address
JACOB SANDOVAL PharmD
5260 TRAIL END RD
LAKESIDE, AZ 85929-5723
Phone number: 520-869-0545