Keith David Jacobs, PHARMD

NPI #1154313617 in St Marys, Ohio

Provider Information

NPI Number
1154313617
Entity Type
Individual
Name
Keith David Jacobs, PHARMD
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Pharmacist
Credential
PHARMD
Enumeration Date
Aug 19, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
1052 E SPRING ST
State
Ohio
ZIP Code
45885-2446
Phone
(419) 394-3219

Specialties & Taxonomy Codes

Specialty
Pharmacist

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