Mouchet, Jacob

Mouchet, Jacob is an individual health care provider with primary practice located at 24 W Alabama St , Tallapoosa GA 30176-1464. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Mouchet, Jacob can be contacted via phone (770) 574-2339.

Contact Information

Primary practice address
24 W Alabama St Tallapoosa GA 30176-1464
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RPH027845 Georgia

Profile Details

NPI number 1700444296
LBN Legal business name Mouchet, Jacob
Credentials PHARM D
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2019
Last updated May 30th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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