Randall Charles Jacob

Pharmacist · Picayune, MS

Individual Active NPI

NPI number 1083914691

Practice location

1505 Highway 43 S
Picayune, MS 39466-9297
Phone
(601) 889-9509

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NPI record

NPI
1083914691
Entity type
Individual (Type 1)
Enumeration date
October 29, 2010
Last updated
October 29, 2010
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 13751 LA

About Randall Jacob

Randall Charles Jacob is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 1505 Highway 43 S, Picayune, MS 39466-9297. The NPI number 1083914691 was assigned on October 29, 2010 and the record was last updated on October 29, 2010.

Randall Jacob lists a license in the registry: #13751 (LA) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Randall Charles Jacob?

The NPI number is 1083914691.

What is the phone number of Randall Jacob?

The phone number listed for the practice location is (601) 889-9509.

Where is Randall Jacob located?

1505 Highway 43 S, Picayune, MS 39466-9297.

What is the taxonomy code for Randall Jacob?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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