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Nadera Jacob, RPh

Pharmacist in Port St Lucie, FL. Individual provider (NPI-1).

NPI number1295136331
StatusActive
Last updated in NPPESSep 9, 2014

Details

NPI
1295136331
Entity type
Individual (NPI-1)
Name
Nadera Jacob
Credential
RPh
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 9, 2014
Last updated
Sep 9, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X PharmacistPS52507FLYes

Practice location

4438 Sw Babylon St
Port St Lucie, FL 34953-6527

Phone 772-359-5562

Mailing address

4438 Sw Babylon St
Port Saint Lucie, FL 34953-6527

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