MR. Mark R Jacobs, RPH

NPI #1457481400 in Beloit, Wisconsin

Provider Information

NPI Number
1457481400
Entity Type
Individual
Name
MR. Mark R Jacobs, RPH
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Credential
RPH
Enumeration Date
Mar 7, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
2761 PRAIRIE AVE
City
Beloit
ZIP Code
53511-2246
Phone
(608) 365-4418

Specialties & Taxonomy Codes

Specialty
Pharmacist

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