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Individual
DR. JACOB MICHAEL ISSE
Active
Individual
DR. JACOB MICHAEL ISSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH-0012821
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
0012821
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
60708541
WA
Other
Enumeration date
10/03/2016
Last updated
01/25/2024
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