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Mario Salazar Jacob, PHARMD
NPI 1215447016 · on the registry since 2017
Practice
- Address
- 500 Brookhaven Ave Ne
Brookhaven, GA 30319 - Phone
- (404) 460-1924
- Fax
- (404) 460-1924
- Organisation at this address
- Brookhaven Vision Care, Llc
Costco Wholesale Corporation
Costco Wholesale CorporationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-10-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia