MISS Shannon Nicole Jacobs, PHARMD

NPI #1134674062 in Fenton, Michigan

Provider Information

NPI Number: 1134674062
Entity Type: Individual
Name: MISS Shannon Nicole Jacobs, PHARMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Aug 21, 2016
Last Updated: Aug 21, 2016

Practice Location

Address: 3700 OWEN RD
City: Fenton
State: Michigan
ZIP Code: 48430-9193
Phone: (810) 750-3735

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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