Martina Treesa Jacob
Martina Treesa Jacob is a Pharmacist in West Nyack, New York. Licensed in New Jersey. Registered with an NPI since 2020.
- Licensed in
- NJ
- In the registry since
- 2020
Practice location Address checks out
61 Demarest AveWest Nyack, NY 10994-1720
Phone: (832) 474-8024
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacist (primary) | Taxonomy 183500000X · Licence 28RI04122000 (NJ) |
|---|
Record details
| NPI number | 1508453580 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 24, 2020 |
| Last updated in NPPES | December 24, 2020 |
| Certification date | December 24, 2020 |
| Mailing address | 61 Demarest Ave, West Nyack, NY 10994-1720 |
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