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Jim Isenberg, R.Ph

Pharmacist in Saint Johns, FL. Individual provider (NPI-1).

NPI number1306183181
StatusActive
Last updated in NPPESJan 13, 2013

Details

NPI
1306183181
Entity type
Individual (NPI-1)
Name
Jim Isenberg
Credential
R.Ph
Sex
Male
Sole proprietor
No
Enumeration date
Jan 13, 2013
Last updated
Jan 13, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X PharmacistPS19160FLYes

Practice location

2845 County Road 210 W
Saint Johns, FL 32259-2016

Phone 904-230-3933

Mailing address

2845 County Road 210 W
Saint Johns, FL 32259-2016

Phone 904-230-3933

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