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Individual
MR. MICHAEL C JACOBS
Active
Individual
MR. MICHAEL C JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5560
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5560
PHARMACIST
SC
Enumeration date
05/30/2006
Last updated
03/19/2008
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