Individual provider · Type 1 NPI

Mario Abner Salazar Jacob, PharmD

Pharmacist · Brookhaven, GA

NPI number 1215447016 Active

Practice location

500 Brookhaven Ave NE
Brookhaven, GA 30319-3291

Call (404) 460-1924 Map

Fax (404) 460-1924

Mailing address

1928 Paxton Ridge Ct
Lilburn, GA 30047-3479

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPHTC028359 (GA)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1215447016

Mario Abner Salazar Jacob, PharmD's National Provider Identifier is 1215447016, issued on Oct 5, 2017. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Brookhaven, GA. The record was last updated on Oct 5, 2017.